[Surgical treatment of atlanto-axial subluxation by transoropharyngeal approach. Report of a case].
A case of atlanto-axial subluxation in a 17 year old boy with rheumatic disease is reported. The subluxation could not be reduced by cervical traction. Posterior fixation with acrilic and wire was unable to prevent the appearance of signs of spinal cord compression. The odontoid process was removed through a transoral approach leading to neurologic recovery. Treatment of atlanto-axial subluxation is discussed, emphasis being given to the indications for anterior descompression.
D000293:Adolescent; D001269:Atlanto-Occipital Joint / Q000601:surgery; D001368:Axis, Cervical Vertebra / Q000293:injuries* / Q000601:surgery; D001270:Cervical Atlas / Q000293:injuries* / Q000601:surgery; D002574:Cervical Vertebrae / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D009192:Myelography; D012213:Rheumatic Fever / Q000150:complications; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery
Tratamento cirúrgico de sub-luxação atlanto-axial por via transorofaringea. Relato de um caso.