Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

Goel-Harms Construct for C1-C2 Fusions in Children

This page was last updated on February 24th, 2019

  • C1 lateral mass and C2 pedicle: This is a cantilever construct consisting of C1 lateral mass screws and C2 pedicle screws. The screws anchored in C2 hold the rod, which in turn supports C1, preventing its anterior movement.
  • Rigidity similar to that with transarticular screws: This construct is feasible in some patients with contraindications to transarticular screws; it provides similar rigidity (17).
  • May augment with cables: Additional rigidity can be obtained by supplementing the construct with either sublaminar or spinous process wiring.

Goel-Harms fusion: Artist’s rendering of a C1–C2 rod-cantilever fusion (52)

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.