%0 Journal Article %A KARYA T. BIAKTO %A JAINAL ARIFIN %A JANSEN LEE %A MICHAEL BENJAMIN %T Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report %D 2019 %R 10.14444/6001 %J International Journal of Spine Surgery %P 11-16 %V 13 %N 1 %X 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. %U http://www.ijssurgery.com/content/ijss/13/1/11.full.pdf