Internal Reduction Established by Occiput-C2 Pedicle Polyaxial Screw Stabilization in Pediatric Atlantoaxial Rotatory Fixation
Atlantoaxial rotatory fixation is an uncommon disorder of childhood, which can be treated conservatively whendiagnosed early. Although spontaneous correction occasionally occurs, most of the patients usually benefit from collar or traction therapies. If there is no intervention or if all external th...
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Veröffentlicht in: | Pediatric neurosurgery 2006, Vol.42 (5), p.328-332 |
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creator | Belen, Deniz Simsek, Serkan Yigitkanli, Kazim Bavbek, Murad |
description | Atlantoaxial rotatory fixation is an uncommon disorder of childhood, which can be treated conservatively whendiagnosed early. Although spontaneous correction occasionally occurs, most of the patients usually benefit from collar or traction therapies. If there is no intervention or if all external therapeutic modalities fail, the deformity may become chronic and irreducible. In such rare cases, surgical correction and stabilization are needed to prevent future head and neck deformity or facial asymmetry. In this report we describe a novel surgical technique used in a pediatric case presenting with delayed type 2 atlantoaxial rotatory fixation, in whom all external reduction methods had failed. The patient’s deformity was treated by occiput-C 2 pedicle polyaxial screw stabilization. This technique is effective for reducing the atlantoaxial fixation in children. |
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Although spontaneous correction occasionally occurs, most of the patients usually benefit from collar or traction therapies. If there is no intervention or if all external therapeutic modalities fail, the deformity may become chronic and irreducible. In such rare cases, surgical correction and stabilization are needed to prevent future head and neck deformity or facial asymmetry. In this report we describe a novel surgical technique used in a pediatric case presenting with delayed type 2 atlantoaxial rotatory fixation, in whom all external reduction methods had failed. The patient’s deformity was treated by occiput-C 2 pedicle polyaxial screw stabilization. This technique is effective for reducing the atlantoaxial fixation in children.</description><identifier>ISSN: 1016-2291</identifier><identifier>EISSN: 1423-0305</identifier><identifier>DOI: 10.1159/000094073</identifier><identifier>PMID: 16902349</identifier><language>eng</language><publisher>Basel, Switzerland: S. 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Although spontaneous correction occasionally occurs, most of the patients usually benefit from collar or traction therapies. If there is no intervention or if all external therapeutic modalities fail, the deformity may become chronic and irreducible. In such rare cases, surgical correction and stabilization are needed to prevent future head and neck deformity or facial asymmetry. In this report we describe a novel surgical technique used in a pediatric case presenting with delayed type 2 atlantoaxial rotatory fixation, in whom all external reduction methods had failed. The patient’s deformity was treated by occiput-C 2 pedicle polyaxial screw stabilization. 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Although spontaneous correction occasionally occurs, most of the patients usually benefit from collar or traction therapies. If there is no intervention or if all external therapeutic modalities fail, the deformity may become chronic and irreducible. In such rare cases, surgical correction and stabilization are needed to prevent future head and neck deformity or facial asymmetry. In this report we describe a novel surgical technique used in a pediatric case presenting with delayed type 2 atlantoaxial rotatory fixation, in whom all external reduction methods had failed. The patient’s deformity was treated by occiput-C 2 pedicle polyaxial screw stabilization. This technique is effective for reducing the atlantoaxial fixation in children.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>16902349</pmid><doi>10.1159/000094073</doi><tpages>5</tpages></addata></record> |
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subjects | Anti-Inflammatory Agents, Non-Steroidal - therapeutic use Atlanto-Axial Joint - physiopathology Atlanto-Axial Joint - surgery Bone Plates Bone Screws Braces Case studies Cervical Vertebrae - surgery Child Children & youth Deformities Face Head Humans Joint Instability - physiopathology Joint Instability - surgery Male Neck Neurosurgery Occipital Bone - surgery Spinal Fusion - instrumentation Spinal Fusion - methods Technical Note Torticollis - etiology Torticollis - physiopathology Torticollis - surgery Traction |
title | Internal Reduction Established by Occiput-C2 Pedicle Polyaxial Screw Stabilization in Pediatric Atlantoaxial Rotatory Fixation |
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