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Atlanto-axial dislocation in children.

T E de Barros Filho¹, R P Oliveira, N R Rodrigues

¹Department of Orthopedics and Traumatology, University Hospital, Faculty of Medicine, University of São Paulo, Brazil.

Revista Paulista De Medicina

|January 1, 1992

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Early surgical intervention for pediatric C1 C2 dislocations is recommended. Conservative treatment yielded disappointing results in children, highlighting the need for prompt atlanto-axial arthrodesis to improve outcomes.

Area of Science:

Pediatric Orthopedics
Spinal Surgery
Traumatology

Background:

C1 C2 dislocations, also known as atlanto-axial dislocations, are rare but serious injuries in children.
Previous studies have explored various treatment modalities, with varying degrees of success.

Purpose of the Study:

To evaluate the outcomes of treating pediatric C1 C2 dislocations.
To determine the efficacy of conservative versus surgical management for these injuries in children.

Main Methods:

Retrospective case series of 14 pediatric patients with C1 C2 dislocations treated between 1978 and 1990.
Analysis of treatment approaches, including conservative management and surgical intervention (atlanto-axial arthrodesis).

Main Results:

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Six out of 14 patients treated conservatively showed disappointing outcomes.
Early atlanto-axial arthrodesis was considered in the context of these findings.

Conclusions:

Conservative treatment for pediatric C1 C2 dislocations can lead to unfavorable results.
Early atlanto-axial arthrodesis is recommended for pediatric C1 C2 dislocations to achieve better outcomes.