Atlanto-occipital fusion for dislocation in children with neurologic preservation: A case report

Paul David Sponseller, Joseph R. Cass

Research output: Contribution to journalArticle

Abstract

Study Design. A retrospective clinical review of patients with atlanto- occipital dislocations. Objectives. To determine if fusion of the occiput to C1 can be accomplished without extension to the axis. Summary of Background Data. Patients with atlanto-occipital dislocations who have preservation of spinal cord function are quite rare. The standard approach to stabilization has been fusion of the occiput to the axis (C2). This may compromise rotation unnecessarily, however. The authors investigated the success of attempting to fuse only the occiput to C1 in children. Methods. Two children with atlanto- occipital dislocation who had normal neurologic function underwent fusion from the occiput to the atlas after reduction. Results. Both cases showed successful fusion with no unwanted extension to lower levels. Full head rotation was preserved. Conclusions. This technique restores stability without restricting rotation.

Original languageEnglish (US)
Pages (from-to)344-347
Number of pages4
JournalSpine
Volume22
Issue number3
DOIs
StatePublished - Feb 1 1997

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Nervous System
Atlases
Spinal Cord
Head

Keywords

  • arthrodesis
  • atlanto-occipital dislocation
  • pediatric spine

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Atlanto-occipital fusion for dislocation in children with neurologic preservation : A case report. / Sponseller, Paul David; Cass, Joseph R.

In: Spine, Vol. 22, No. 3, 01.02.1997, p. 344-347.

Research output: Contribution to journalArticle

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