Dysphagia After Occipitocervical Fixation in a Patient with Atlantoaxial Subluxation

Dysphagia ◽  
2021 ◽  
Author(s):  
Yi-Hsiang Chiu ◽  
Shao-Yu Chi ◽  
Hung-Jui Chuang ◽  
Tyng-Guey Wang
Keyword(s):  
Atlantoaxial Subluxation ◽  
Occipitocervical Fixation

scholarly journals Occipitocervical fixation using Ransford loop for neglected posttraumatic odontoid fracture with atlantoaxial dislocation: A technical note

2019 ◽  
Vol 10 ◽  
pp. 218
Author(s):  
Robert Sinurat
Keyword(s):  
Magnetic Resonance Image ◽  
Clinical Symptoms ◽  
Technical Note ◽  
Odontoid Fracture ◽  
Atlantoaxial Subluxation ◽  
Occipitocervical Fusion ◽  
Odontoid Fractures ◽  
Occipitocervical Fixation ◽  
Surgical Expertise

Background: To relieve the onset of new clinical symptoms, it is important to recognize and treat previously neglected odontoid fractures. However, many hospitals in developing countries do not have the equipment or surgical expertise to adequately manage these lesions. Case Description: A 31-year-old male presented with paresthesias/quadriparesis attributed to an accident sustained 6 months earlier. The cervical magnetic resonance image revealed atlantoaxial subluxation type 2. Following a laminectomy and occipitocervical fusion with a Ransford loop, the patient’s symptoms significantly improved. Conclusion: Straight forward laminectomy and occipitocervical fusion with a Ransford loop may adequately treat selected cases of neglected atlantoaxial subluxation in a developing country.

Atlantal lateral mass screws for posterior spinal reconstruction

2002 ◽  
Vol 12 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Amory J. Fiore ◽  
Regis W. Haid ◽  
Gerald E. Rodts ◽  
Brian R. Subach ◽  
Praveen V. Mummaneni ◽  
...  
Keyword(s):  
Atlantoaxial Subluxation ◽  
Rigid Fixation ◽  
Lateral Mass ◽  
Occipitocervical Fixation ◽  
Spinal Reconstruction ◽  
Alternative Method ◽  
Upper Cervical ◽  
Atlantoaxial Fixation ◽  
Lateral Mass Screws ◽  
Additional Fixation

Object A variety of techniques may be used to achieve fixation of the upper cervical spine. Transarticular atlantoaxial screws, posterior interspinous cable and graft constructs, and interlaminar clamps have been used effectively to achieve atlantoaxial fixation. Various anatomical factors, however, may preclude the successful application of these techniques. These factors include aberrant vertebral artery anatomy, irreducible atlantoaxial subluxation, exaggerated cervicothoracic kyphosis, and the absence of the osseous substrate for fixation. In these cases, an alternative method of fixation must be performed. The authors present an alternative method to achieve fixation of the atlas in which lateral mass screws can be applied to atlantoaxial and occipitocervical fixation. Methods Between February 1998 and November 2001, eight patients who ranged in age from 16 to 74 years underwent posterior fixation for upper cervical instability. Diagnoses included C-2 metastastic disease in two patients, irreducible odontoid fractures in two patients, atlantoaxial subluxation in two patients, and transverse ligament synovial cyst in two patients. Various anatomical factors precluded transarticular atlantoaxial screw fixation in seven patients. One patient with a highly unstable spine due to a C-2 metastasis and pathological fracture underwent occipitocervical fusion. Atlantocervical fixation was achieved in seven patients by using varying constructs incorporating C-1 lateral mass screws. Occipitocervical fixation was achieved in one patient by incorporating C-1 lateral mass screws as an additional fixation point. A total of 14 C-1 lateral mass screws were placed in eight patients. There were no intraoperative complications. In all patients rigid fixation was achieved as demonstrated on postoperative radiographs. One patient died on postoperative Day 9 of aspiration pneumonia. At a mean follow-up time of 7.4 months, rigid fixation was maintained in all patients. Conclusions Atlantal lateral mass screws can be used to provide a safe and efficacious means of achieving atlantoaxial fixation when anatomical constraints preclude the use of a more traditional procedure. Atlantal lateral mass screws may also be incorporated in occipitocervical constructs to provide additional fixation points which may prevent construct failure.

Atlantoaxial subluxation in psoriatic arthropathy

1972 ◽  
Vol 105 (2) ◽  
pp. 247-248 ◽  
Author(s):  
V. J. Giuliano
Keyword(s):  
Atlantoaxial Subluxation ◽  
Psoriatic Arthropathy

Stabilisation of atlantoaxial subluxation in the dog through ventral arthrodesis

2008 ◽  
Vol 150 (2) ◽  
pp. 69-76 ◽  
Author(s):  
J. Jeserevics ◽  
P. enk ◽  
J. Beranek ◽  
A. Jaggy ◽  
S. Touru ◽  
...  
Keyword(s):  
Atlantoaxial Subluxation

La Maladie de Grisel: Spontaneous Atlantoaxial Subluxation

2001 ◽  
Vol 38 (3) ◽  
pp. 268-270 ◽  
Author(s):  
M. F. Meek ◽  
R. A. E. C. Hermens ◽  
P. H. Robinson
Keyword(s):  
Oral Cavity ◽  
Neck Pain ◽  
Rare Complication ◽  
Atlantoaxial Subluxation ◽  
Unusual Complication ◽  
Additional Investigation ◽  
Grisel’S Syndrome

Objective: “La maladie de Grisel” (Grisel's syndrome) is a spontaneously occurring atlantoaxial subluxation with torticollis. We present a case of atlantoaxial subluxation occurring in a 20-year period of pharyngoplasty surgery. The occurrence of a “spontaneous” atlantoaxial subluxation after oral cavity or pharynx operations is rare. Because some neck pain and stiffness are commonly seen after these kinds of operations, we would like to draw attention to this unusual complication. Symptoms associated with a torticollis after an operation in the oral cavity or pharynx requires additional investigation to exclude this rare complication. A review of the available literature concerning etiology and treatment of la maladie de Grisel is presented.

Occipitocervical Fixation with C2 Translaminar Screws in Children

2008 ◽  
Vol 1 (4) ◽  
pp. A355-A355 ◽  
Author(s):  
Peter P. Sun
Keyword(s):  
Occipitocervical Fixation ◽  
Translaminar Screws

scholarly journals The late atlantoaxial subluxation in a patient with juvenile idiopathic arthritis

2014 ◽  
Vol 12 (S1) ◽  
Author(s):  
Ana-Maria-Mihaela Ramazan ◽  
Adriana Apostol
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Atlantoaxial Subluxation

Conservative management of an atlantoaxial subluxation using thermoplastic material

2016 ◽  
Vol 57 (7) ◽  
pp. 386-386
Author(s):  
E. L. Hall ◽  
J. Guevar ◽  
K. L. Holmes ◽  
R. Gutierrez-Quintana
Keyword(s):  
Conservative Management ◽  
Atlantoaxial Subluxation ◽  
Thermoplastic Material

scholarly journals Reduction of Atlantoaxial Subluxation Causes Airway Stenosis

Spine ◽  
2013 ◽  
Vol 38 (9) ◽  
pp. E513-E520 ◽  
Author(s):  
Masanori Izeki ◽  
Masashi Neo ◽  
Hiromu Ito ◽  
Koutatsu Nagai ◽  
Tatsuro Ishizaki ◽  
...  
Keyword(s):  
Atlantoaxial Subluxation ◽  
Airway Stenosis
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