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Case ReportFull Length Article
Open Access

Instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation: A case report

Clifton Meals, Rachel Harrison, Warren Yu and Joseph O'Brien
International Journal of Spine Surgery January 2013, 7 e20-e23; DOI: https://doi.org/10.1016/j.ijsp.2013.01.002
Clifton Meals
Department of Orthopedics, George Washington University Medical Center, Washington, DC
MD
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  • For correspondence: cliftongm@gmail.com
Rachel Harrison
Department of Orthopedics, George Washington University Medical Center, Washington, DC
MD
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Warren Yu
Department of Orthopedics, George Washington University Medical Center, Washington, DC
MD
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Joseph O'Brien
Department of Orthopedics, George Washington University Medical Center, Washington, DC
MD
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    Fig. 1

    Sagittal (A) and axial (B) computed tomography images of cervical spine obtained at time of presentation to clinic.

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    Fig. 2

    Fluoroscopic intraoperative image showing failed closed reduction.

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    Fig. 3

    Instrumented reduction of atlantoaxial articulation using occipital plate.

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    Fig. 4

    Immediate postoperative X-ray shows satisfactory reduction.

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    Fig. 5

    Postoperative axial computed tomography image showing maintenance of reduction.

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    Fig. 6

    Example of lateral mass erosion preventing access to C1 lateral mass.

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International Journal of Spine Surgery
Vol. 7
1 Jan 2013
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Instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation: A case report
Clifton Meals, Rachel Harrison, Warren Yu, Joseph O'Brien
International Journal of Spine Surgery Jan 2013, 7 e20-e23; DOI: 10.1016/j.ijsp.2013.01.002

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Instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation: A case report
Clifton Meals, Rachel Harrison, Warren Yu, Joseph O'Brien
International Journal of Spine Surgery Jan 2013, 7 e20-e23; DOI: 10.1016/j.ijsp.2013.01.002
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Keywords

  • cervical spine
  • Subluxation
  • reduction
  • Instrumented
  • rheumatoid arthritis

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