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 11
OP 16
DO 10.14444/6001
VO 13
IS 1
A1 KARYA T. BIAKTO
A1 JAINAL ARIFIN
A1 JANSEN LEE
A1 MICHAEL BENJAMIN
YR 2019
UL http://ijssurgery.com//content/13/1/11.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.