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Challenges of Transarticular Screw Fixation in Young Children: Report of Surgical Treatment of a 5-Year-Old Patient's Unstable Os-Odontoideum.
- Source :
-
Asian spine journal [Asian Spine J] 2016 Oct; Vol. 10 (5), pp. 950-954. Date of Electronic Publication: 2016 Oct 17. - Publication Year :
- 2016
-
Abstract
- Surgical procedures for atlantoaxial (C1-C2) fusion in young children are relatively uncommon. The purpose of this study was to report on a surgical treatment for a case of atlantoaxial instability caused by os-odontoideum in association with quadriparesis and respiratory paralysis in a 5-year-old girl. We present the patient's history, physical examination, and radiographic findings, describe the surgical treatment and a five year follow-up, and provide a literature review. The instability was treated by halo immobilization, followed by C1-C2 transarticular screw fixation using a computed tomography-based navigation system. At the five year follow-up, the patient had made a complete recovery with solid union. The authors conclude that C1-2 transarticular screw fixation is technically possible as in a case of atlantoaxial instability in a five-year-old child.<br />Competing Interests: No potential conflict of interest relevant to this article was reported.
Details
- Language :
- English
- ISSN :
- 1976-1902
- Volume :
- 10
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Asian spine journal
- Publication Type :
- Academic Journal
- Accession number :
- 27790327
- Full Text :
- https://doi.org/10.4184/asj.2016.10.5.950