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This case report presents the use of a C1 translaminar screw as a salvage technique following the failure of a C1 lateral mass screw during the treatment of a type II odontoid fracture. A 16-year-old male involved in a motor vehicle accident was scheduled for posterior atlantoaxial fixation with C1 lateral mass screws and C2 pedicle screws. However, intraoperative failure of one C1 lateral mass screw necessitated the insertion of a C1 translaminar screw. Postoperative recovery was without complications, with fracture healing confirmed by computed tomography imaging at 3\u2009months after the operation, showing no signs of implant loosening or delayed union. This case highlights the effectiveness of the C1 translaminar screw as a reliable salvage technique in complex situations where conventional screw placement is compromised. It provides a viable alternative for ensuring stable fixation and achieving favorable outcomes in patients with challenging anatomical variations.<\/jats:p>","DOI":"10.1177\/2050313x261440663","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:33:43Z","timestamp":1777556023000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["C1 translaminar screw as a salvage technique for a failed lateral mass screw: A case report and literature review"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3023-5332","authenticated-orcid":false,"given":"Guanyi","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Spine Surgery Center, Ningbo No. 6 Hospital, China"},{"name":"Ningbo Clinical Research Center for Orthopedics, Sports Medicine &amp; Rehabilitation, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zihui","family":"Yang","sequence":"additional","affiliation":[{"name":"Health Science Center, Ningbo University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Ningbo Yinzhou No. 2 Hospital, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiayu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Emergency, Ningbo No. 6 Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lihua","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People\u2019s Hospital, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weihu","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Center, Ningbo No. 6 Hospital, China"},{"name":"Ningbo Clinical Research Center for Orthopedics, Sports Medicine &amp; Rehabilitation, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Center, Ningbo No. 6 Hospital, China"},{"name":"Ningbo Clinical Research Center for Orthopedics, Sports Medicine &amp; Rehabilitation, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Lanzhou University Second Hospital, Gansu, China"},{"name":"Minxian County People\u2019s Hospital, Dingxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200111150-00014"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4829-1"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.06.149"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2021.0270"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2024.04.017"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.21037\/jss.2020.03.05"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200011150-00013"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3171\/SPI.2008.10.08294"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2010.04.011"},{"key":"e_1_3_3_11_2","article-title":"CT-based morphometric analysis of C1 laminar dimensions: C1 translaminar screw fixation is a feasible technique for salvage of atlantoaxial fusions","volume":"6","author":"Yew A","year":"2015","unstructured":"Yew A, Lu D, Lu DC. CT-based morphometric analysis of C1 laminar dimensions: C1 translaminar screw fixation is a feasible technique for salvage of atlantoaxial fusions. Surg Neurol Int 2015; 6(suppl 4): S236\u2013S239.","journal-title":"Surg Neurol Int"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2017.11.2.314"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3171\/2018.8.SPINE18160"},{"key":"e_1_3_3_14_2","article-title":"Posterior spinal fusion using a unilateral C1 posterior arch screw and a C2 laminar screw for atlantoaxial fracture dislocation","volume":"7","author":"Ono Y","year":"2019","unstructured":"Ono Y, Miyakoshi N, Hongo M, et al. Posterior spinal fusion using a unilateral C1 posterior arch screw and a C2 laminar screw for atlantoaxial fracture dislocation. 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