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The AO Spine Symposium on C1–C2 Trauma: Contemporary Concepts and Surgical Strategies provides an in-depth, advanced educational experience tailored for spine surgeons, neurosurgeons, orthopedic surgeons, spine fellows, and senior residents dedicated to elevating their management of upper cervical spine injuries. Held under the prestigious academic banner of AO Spine, this comprehensive symposium addresses the complex biomechanical and anatomical challenges inherent to the craniocervical junction and atlantoaxial complex. Given that fractures and dislocations of C1 and C2 demand exceptional surgical precision, meticulous diagnostic evaluation, and nuanced decision-making, the course serves as a dedicated platform to examine contemporary treatment paradigms, state-of-the-art fixation techniques, and effective strategies for complication avoidance. Throughout the course, participants dive deeply into the classification, diagnosis, and evidence-informed management of complex upper cervical trauma, including atlas fractures, axis fractures, odontoid fractures, and traumatic atlantoaxial instability. Attendees explore the biomechanics of ligamentous stability alongside the technical execution of modern stabilization approaches, ranging from C1 lateral mass and C2 pedicle, pars, or laminar screw constructs to anterior odontoid screw fixation and posterior fusion techniques. Emphasizing high-yield, practical instruction, the program highlights protocols for avoiding critical intraoperative complications, such as vertebral artery injury, spinal cord compression, and neurological deterioration, particularly in high-risk scenarios involving high-energy trauma or osteoporotic bone. Delivered through a dynamic format of expert-led lectures, interactive case discussions, and multidisciplinary panel debates, the symposium bridges theoretical principles and clinical application. Surgeons have the opportunity to analyze complex, real-world case scenarios, debate controversial treatment pathways—such as non-operative management versus motion-preserving or rigid stabilization—and refine their decision-making frameworks for treating diverse patient demographics. By fostering collaborative engagement with international experts in upper cervical trauma, this AO Spine symposium equips participants with actionable, cutting-edge surgical strategies to enhance patient safety and achieve optimal clinical outcomes in their daily practice.
Detailed review of the bony anatomy and joint mechanics of the atlantoaxial complex.
Understanding the role of the transverse, alar, and apical ligaments in upper cervical stability.
Optimal use of X-ray, CT, and MRI in diagnosing C1-C2 injuries.
Current and contemporary classification systems for atlas and axis fractures.
Step-by-step approaches to C1 lateral mass and C2 pedicle/pars screw placement.
Indications and techniques for anterior odontoid screw fixation.
Strategies for avoiding and managing vertebral artery injuries during upper cervical surgery.
Evaluating fusion rates, functional outcomes, and quality of life post-surgery.
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