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Research ArticleCervical Spine

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

KARYA T. BIAKTO, JAINAL ARIFIN, JANSEN LEE and MICHAEL BENJAMIN
International Journal of Spine Surgery February 2019, 13 (1) 11-16; DOI: https://doi.org/10.14444/6001
KARYA T. BIAKTO
Department of Orthopaedic and Traumatology, Wahidin Sudirohusodo General Hospital, University of Hasanuddin, Makassar, Indonesia
PHD
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JAINAL ARIFIN
Department of Orthopaedic and Traumatology, Wahidin Sudirohusodo General Hospital, University of Hasanuddin, Makassar, Indonesia
MD
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JANSEN LEE
Department of Orthopaedic and Traumatology, Wahidin Sudirohusodo General Hospital, University of Hasanuddin, Makassar, Indonesia
MD
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MICHAEL BENJAMIN
Department of Orthopaedic and Traumatology, Wahidin Sudirohusodo General Hospital, University of Hasanuddin, Makassar, Indonesia
MD
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    Figure 1

    Clinical picture of maximum handgrip ability of the right hand.

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    Figure 2

    Radiograph of the cervical spine: Antero-posterior, lateral, and open mouth position.

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    Figure 3

    Computed tomography scan of the cervical spine: axial, coronal, and sagittal section.

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    Figure 4

    Magnetic resonance imaging of the cervical spine: reduced thickness of cord along with hyperintense signal on T2 in cord at the level C1-vertebra–myelomalacia.

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    Figure 5

    Intraoperative pictures showing suboccipital craniotomy using cranitome (right) followed by occipitocervical fusion and laminectomy of the atlas (left).

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    Figure 6

    Radiograph of cervical spine after occipitocervical fusion.

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    Figure 7

    Ability to perform handgrip by day 5 (top); ability to sit independently with extended knee, and assisted walking (bottom) by day 10.

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International Journal of Spine Surgery
Vol. 13, Issue 1
1 Feb 2019
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Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report
KARYA T. BIAKTO, JAINAL ARIFIN, JANSEN LEE, MICHAEL BENJAMIN
International Journal of Spine Surgery Feb 2019, 13 (1) 11-16; DOI: 10.14444/6001

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Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report
KARYA T. BIAKTO, JAINAL ARIFIN, JANSEN LEE, MICHAEL BENJAMIN
International Journal of Spine Surgery Feb 2019, 13 (1) 11-16; DOI: 10.14444/6001
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Keywords

  • neglected
  • Jefferson fracture-dislocation
  • odontoid peg fracture
  • posterior fossa decompression
  • occipitocervical fusion

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