Related Experiment Video
Updated: Jul 5, 2026
04:19
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Tubercular atlantoaxial dislocation in children: an institutional experience
Samir Kumar Kalra1, Raj Kumar, Ashok Kumar Mahapatra
1Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Journal of Neurosurgery
|May 10, 2008
Summary
Pediatric tubercular atlantoaxial dislocation (AAD) often presents subtly, causing delayed diagnosis. Prompt surgical stabilization and anti-tuberculosis therapy (ATT) lead to excellent outcomes in children with this condition.
Area of Science:
- Pediatric Neurosurgery
- Infectious Diseases
- Spinal Surgery
Background:
- Tubercular atlantoaxial dislocation (AAD) is a rare but serious condition in children.
- Subtle clinical manifestations can lead to delayed diagnosis and treatment.
Purpose of the Study:
- To analyze the clinical and imaging features of pediatric tubercular AAD.
- To evaluate the outcomes of surgical stabilization and anti-tuberculosis therapy (ATT).
Main Methods:
- Retrospective analysis of 17 pediatric patients (≤16 years) with tubercular AAD.
- Surgical posterior stabilization for reducible AAD.
- Standardized 4-drug ATT regimen for 18 months, with modifications.
Main Results:
- Most patients presented with irreducible AAD, long tract signs, neck pain, and restricted movement.
- Significant delays in seeking neurosurgical consultation were noted.
- Despite poor preoperative grades, patients showed excellent postoperative improvement.
Conclusions:
- Early diagnosis of pediatric tubercular AAD is crucial due to subtle presentations.
- Surgical intervention for diagnosis, neural decompression, and stabilization is vital.
- Comprehensive ATT is an integral component for successful management.