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Journal of Korean Neurosurgical Society > Volume 6(1); 1977 > Article
Journal of Korean Neurosurgical Society 1977;6(1): 227-232.
Occipito-Cervical Fusion for Atlanto-Axial Subluxation.
Chul Soo Kim, Young Soo Kim, Yoon Sun Hahn, Hun Jae Lee
Department of Neurosurgery, Yonsei University, College of Medicine, Seoul, Korea.
The authors performed occipito-cervical(C2-3) fusion in a case of atlanto-axial subluxation caused by congenital seperation of dens. At first posterior cervical fusion(C1-2-3) with rib graft was performed, but several days after the operation C1-2 subluxation developed again with cervical cord compression syndrome. In the second operation, the occiput was included in the fusion after removal of the posterior neural arch of atlas which resulted in good reduction and marked improvement in neurologic symptoms.
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