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Congenital atlanto axial dislocation

B S Rao1, V R Taraknath, V N Sista

  • 1Department of Neurosurgery, Guntur Medical College, India.

Annals of the Academy of Medicine, Singapore
|November 1, 1993
PubMed
Summary
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See all related articles

Atlantoaxial dislocations, often congenital, are rare but present with neurological signs in children. Surgical interventions like decompression and fusion show good recovery rates, despite surgical risks.

Area of Science:

  • Orthopedics
  • Pediatric Neurosurgery
  • Spinal Surgery

Background:

  • Atlantoaxial dislocation is a rare spinal condition affecting the joint between the first two cervical vertebrae.
  • Congenital atlantoaxial dislocations are more common, particularly in pediatric populations.
  • Neurological deficits, though often considered uncommon in children with this condition, were consistently observed in this study.

Purpose of the Study:

  • To present findings on 45 cases of atlantoaxial dislocations over 12 years.
  • To emphasize diagnostic considerations in children with atlantoaxial dislocations.
  • To discuss technical aspects and outcomes of surgical interventions for atlantoaxial dislocations.

Main Methods:

  • Retrospective review of 45 atlantoaxial dislocation cases over a 12-year period.

Related Experiment Videos

  • Analysis of patient demographics, focusing on pediatric cases (under 12 years).
  • Surgical interventions included transoral anterior decompression and posterior fusion.

    • Main Results:

    • Forty of the 45 cases were congenital dislocations.
    • A significant proportion of pediatric cases presented with exaggerated reflexes.
    • Surgical outcomes were generally favorable, with most patients showing good recovery after decompression or fusion, despite seven perioperative deaths.

    Conclusions:

    • Congenital atlantoaxial dislocations require careful diagnosis, especially in children.
    • Surgical management, including anterior decompression and posterior fusion, can yield good results.
    • Understanding the nuances of pediatric presentation and surgical techniques is crucial for successful outcomes.