title: Osteoplastic repair of the atlas.
abstract: Fractures of the atlas constitute 4% to 12% of all bony injuries of the cervical spine; most are treated successfully by a cervical orthosis. Nonunion may be associated with neck or scalp pain on movement and is treated conventionally by some form of craniocervical fusion, which restricts head movement. The authors describe a case in which direct repair of the bony ring with a titanium plate and screws allowed bone healing, relieved the symptoms and maintained a full range of neck movements. The titanium plate interfered little with postoperative MR and CT imaging.
authors.affiliation: Department of Surgical Neurology, National Hospital for Neurology and Neurosurgery, London, England.
authors.forename: M A
authors.initials: MA
authors.lastname: Rogers
authors.forename: A O
authors.initials: AO
authors.lastname: Ransford
authors.forename: H A
authors.initials: HA
authors.lastname: Crockard
mesh_terms: D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D001270:Cervical Atlas / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006801:Humans; D011859:Radiography; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014025:Titanium
chemical_list: D014025:Titanium