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| The Surgical Technologist | AUGUST 2021 358 #452 AUGUST 2021 1 CE CREDIT $6 4. It is critical that the needle is passed under the C1 lamina ______ so that the sharp tip of the needle does not tear the dura. a. Forward b. From right to left c. Backwards d. From left to right 5. The needle end of the suture is looped underneath the C2 spinous process and tied to the other end of the suture which passes over the ______. a. C2 spinous process and bone graft b. C1-2 interlaminar gap c. C1 lamina d. C1 lamina and over the bone graft 6. In cases were subaxial fusion was need- ed, lateral mass screws were placed at: a. C1 b. C2 c. C3 d. C4 1. For the technique described in this article, what position was the patient placed in? a. Prone b. Lateral c. Supine d. Lithotomy 2. Once the bone graft is sized, the high-speed drill is used to make a ___ hole through the iliac crest graft. a. 2 mm- b. 4 mm- c. 6 mm- d. 10 mm- 3. The 0-Prolene suture is then passed ________ the C1 lamina superior to inferior. a. Above b. On the side of c. Underneath d. Through 7. The average age of the patient in this study was: a. 22 b. 54 c. 66 d. 91 8. Despite the high fusion rates, the Sonntag approach has largely been replaced by which technique? a. Gallie b. Internal fixation c. Brooks-Jenkins d. None of the above 9. Which fixation method is now the most commonly used technique? a. Goel-Harms b. Magerl c. Gallie d. Sonntag 10. The bone graft is sized to fit within: a. C3 b. C1 lamina c. C2 spinous process d. C1-C2 interlaminar gap Atlantoaxial BoneGraft Fixation Technique AST Member No. ■ My address has changed. The address below is the new address. Name Address City State Zip Telephone ■ Check enclosed ■ Check Number a b c d a b c d 1 ■ ■ ■ ■ 11 ■ ■ ■ ■ 2 ■ ■ ■ ■ 11 ■ ■ ■ ■ 3 ■ ■ ■ ■ 13 ■ ■ ■ ■ 4 ■ ■ ■ ■ 14 ■ ■ ■ ■ 5 ■ ■ ■ ■ 15 ■ ■ ■ ■ 6 ■ ■ ■ ■ 16 ■ ■ ■ ■ 7 ■ ■ ■ ■ 17 ■ ■ ■ ■ 8 ■ ■ ■ ■ 18 ■ ■ ■ ■ 9 ■ ■ ■ ■ 19 ■ ■ ■ ■ 10 ■ ■ ■ ■ 20 ■ ■ ■ ■ Make It Easy - Take CE Exams Online Y ou must have a credit card to pur- chase test online. We accept Visa, MasterCard and American Express. Your credit card will only be charged once you pass the test and then your credits will be automati- cally recorded to your account. Log on to your account on the AST homepage to take advantage of this benefit. If you want to mail in your CEs, but still want to pay by credit card, give us at call at 800-637-7433. ATLANTOAXIALBONEGRAFTFIXATIONTECHNIQUE # 452 AUGUST2021 1 CECREDIT $6

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