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Updated: Nov 9, 2025
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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
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Rotatory atlantoaxial dislocation presenting as spinal kyphoscoliosis
Atul Goel1, Ravikiran Vutha1, Abhidha Shah1
1Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Mumbai, Maharashtra, India.
Journal of Craniovertebral Junction & Spine
|April 14, 2021
Summary
Rotatory atlantoaxial dislocation can cause spinal deformities like kyphoscoliosis. Surgical fixation rapidly resolved symptoms and improved spinal alignment in a teenage patient.
Area of Science:
- Orthopedics
- Neurology
- Spinal Surgery
Background:
- Dorsal spinal kyphoscoliosis (SKS) is a complex spinal deformity.
- Atlantoaxial instability can present with diverse neurological symptoms.
Observation:
- A 16-year-old male presented with progressive SKS, leg spasticity, dyspnea, and sleep apnea.
- Investigations revealed rotatory atlantoaxial dislocation alongside SKS.
Findings:
- Surgical atlantoaxial fixation led to a rapid and complete recovery of all symptoms.
- The spinal deformity, including kyphoscoliosis, significantly improved post-fixation.
Implications:
- This case suggests rotatory atlantoaxial dislocation may be an underrecognized cause of spinal deformities.
- Early diagnosis and surgical intervention for atlantoaxial instability can prevent severe neurological and spinal complications.
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