TY - JOUR 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 SP - 11 LP - 16 DO - 10.14444/6001 VL - 13 IS - 1 AU - KARYA T. BIAKTO AU - JAINAL ARIFIN AU - JANSEN LEE AU - MICHAEL BENJAMIN Y1 - 2019/02/01 UR - http://ijssurgery.com//content/13/1/11.abstract N2 - 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. ER -