RT Journal Article
SR Electronic
T1 Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 6001
DO 10.14444/6001
A1 Karya T. Biakto
A1 Jainal Arifin
A1 Jansen Lee
A1 Michael Benjamin
YR 2019
UL http://ijssurgery.com//content/early/2019/02/01/6001.abstract
AB 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.