Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report.

Autor:	Biakto KT; Department of Orthopaedic and Traumatology, Wahidin Sudirohusodo General Hospital, University of Hasanuddin, Makassar, Indonesia., Arifin J; Department of Orthopaedic and Traumatology, Wahidin Sudirohusodo General Hospital, University of Hasanuddin, Makassar, Indonesia., Lee J; Department of Orthopaedic and Traumatology, Wahidin Sudirohusodo General Hospital, University of Hasanuddin, Makassar, Indonesia., Benjamin M; Department of Orthopaedic and Traumatology, Wahidin Sudirohusodo General Hospital, University of Hasanuddin, Makassar, Indonesia.
Jazyk:	angličtina
Zdroj:	International journal of spine surgery [Int J Spine Surg] 2019 Feb 22; Vol. 13 (1), pp. 11-16. Date of Electronic Publication: 2019 Feb 22 (Print Publication: 2019).
DOI:	10.14444/6001
Abstrakt:	Background: Only a few cases of traumatic atlantoaxial fracture-dislocation have been reported, and neglected cases are seldom found because of the fatal nature of this condition. Methods: We reported a neglected case of Jefferson fracture-dislocation associated with type II displaced odontoid peg fracture which was nonambulatory and myelopathic. A surgical plan involving posterior fossa decompression and laminectomy of the posterior arch of atlas following posterior spinal instrumentation was then conducted. Results: Patient experienced marked neurologic recovery and was able to stand and walk with assistance during the early postoperative period. Conclusions: This procedure may be an effective alternative treatment in neglected cases. Competing Interests: Disclosures and COI: None of the authors received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Databáze:	MEDLINE
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