Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report
| Autor: | Karya Triko Biakto, Michael Benjamin, Jainal Arifin, Jansen Lee |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry Decompression Jefferson fracture medicine.medical_treatment Posterior fossa Cervical Spine Laminectomy Odontoid peg medicine.disease Alternative treatment Surgery Occipitocervical fusion 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Atlas (anatomy) Medicine Orthopedics and Sports Medicine business 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Spine Surgery. 13:11-16 |
| ISSN: | 2211-4599 |
| DOI: | 10.14444/6001 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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