PT  - JOURNAL ARTICLE
AU  - KARYA T. BIAKTO
AU  - JAINAL ARIFIN
AU  - JANSEN LEE
AU  - MICHAEL BENJAMIN
TI  - Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report
AID  - 10.14444/6001
DP  - 2019 Feb 01
TA  - International Journal of Spine Surgery
PG  - 11--16
VI  - 13
IP  - 1
4099  - http://ijssurgery.com//content/13/1/11.short
4100  - http://ijssurgery.com//content/13/1/11.full
SO  - Int J Spine Surg2019 Feb 01; 13
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.