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Occipitocervical fixation using Ransford loop for neglected posttraumatic odontoid fracture with atlantoaxial
1Department of Surgery, Faculty of Medical, Universitas Kristen Indonesia, Jakarta, Indonesia.
Surgical Neurology International
|December 11, 2019
Summary
Neglected odontoid fractures require prompt treatment. A laminectomy and occipitocervical fusion effectively treated a patient with atlantoaxial subluxation in a developing country.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Traumatology
Background:
- Odontoid fractures, if neglected, can lead to new clinical symptoms.
- Developing countries often lack resources for managing complex cervical spine injuries.
- Early recognition and treatment are crucial for preventing long-term complications.
Observation:
- A 31-year-old male presented with neurological deficits 6 months post-accident.
- Cervical MRI confirmed Type 2 atlantoaxial subluxation.
- The patient experienced significant symptom improvement after surgical intervention.
Findings:
- Laminectomy and occipitocervical fusion using a Ransford loop were performed.
- The surgical approach resulted in substantial recovery of neurological function.
- This case highlights a viable treatment option for neglected cervical spine injuries.
Implications:
- Simple surgical techniques can be effective in resource-limited settings.
- Laminectomy and occipitocervical fusion offer a potential solution for neglected atlantoaxial subluxation.
- Improved management strategies are needed for spinal trauma in developing nations.
