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Journal of Korean Neurosurgical Society 1998;27(5): 689-694.
Transoral Anterior Decompression and Posterior Fusion of Irreducible Atlantoaxial Dislocation with Spinal Cord Injury: Case Report.
Yong Suck Ki, Sang Gu Lee, Gi Su Han, Hwan Yung Chung, Young Bo Kim, Cheol Wan Park, Uhn Lee
Depatrment of Neurosurgery, Chung Ang Gil Hospital, Inchon, Korea.
ABSTRACT
We report a case of irreducible atlantaxial dislocation with spinal cord injury. The patient was a 36-year-old man who suffered from the sudden onset of shallow respiration and severe motor weakness after slip down. We have performed the one-stage operation, the transoral decompression, reduction and posterior interspinous wiring with bone fusion. Three weeks after surgery, the reduction state and posterior wiring procedure were failed, due to severe osteoporotic change. So, we have performed second operation, the transarticular facet screw fixation and occipito-cervical fixation with Steinmann pin, from which good postoperative stability and neurological improvements, were obtained.
Key Words: Atlantoaxial dislocation; Transarticular screw fixation; Occipito-cervical fixation; Osteoporosis
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