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
Hauptverfasser: Belen, Deniz, Simsek, Serkan, Yigitkanli, Kazim, Bavbek, Murad
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container_end_page 332
container_issue 5
container_start_page 328
container_title Pediatric neurosurgery
container_volume 42
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.
doi_str_mv 10.1159/000094073
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identifier ISSN: 1016-2291
ispartof Pediatric neurosurgery, 2006, Vol.42 (5), p.328-332
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source MEDLINE; Karger Journals
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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