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[Atlanto-axial dislocations in children]
Chirurgie Pediatrique
|January 1, 1984
Summary
Atlanto-axial dislocation has diverse causes, including congenital issues, trauma, infection, and inflammatory conditions. Treatment varies based on etiology, stability, and neurological impact.
Area of Science:
- Orthopedics
- Neurology
- Rheumatology
Background:
- Atlanto-axial dislocation is a complex spinal condition.
- Understanding its diverse etiologies is crucial for effective management.
Purpose of the Study:
- To review a series of atlanto-axial dislocation cases.
- To illustrate the range of causes and treatment implications.
Main Methods:
- Retrospective case series analysis of 9 patients.
- Observed cases between 1976 and 1982.
Main Results:
- Identified etiologies: 3 congenital, 2 trauma, 1 infection, 2 Grisel syndromes, 1 psoriatic rheumatism.
- Three children presented with incomplete tetraplegia.
- Six patients underwent posterior spine fusion.
Conclusions:
- Diagnosis of the exact cause of atlanto-axial dislocation can be challenging.
- Treatment strategies must be tailored to the specific etiology, possibility of reduction and stabilization, neurological status, and disease onset.