Cervical congenital kyphosis with atlantoaxial dislocation. A case report.
Congenital kyphosis and atlantoaxial dislocation in a 13-year-old boy was treated by a C1 laminectomy and C2-C5 laminoplasty with fusion from the occiput to C2. This resulted in postoperative neurologic deterioration, but a secondary anterior C3 vertebrectomy followed by a C2-C5 fusion helped restore neural function. In the presence of congenital cervical kyphosis, anterior rather than posterior decompression and fusion is recommended, particularly in the presence of a stenotic spinal canal.
Shiba
R
R
Department of Orthopaedic Surgery, Jikei University School of Medicine, Tokyo, Japan.
Murota
K
K
Kondo
H
H
Honma
G
G
D000293:Adolescent; D001268:Atlanto-Axial Joint / Q000293:injuries*; D002574:Cervical Vertebrae / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology* / Q000601:surgery; D007738:Kyphosis / Q000151:congenital* / Q000601:surgery; D007796:Laminectomy / Q000009:adverse effects*; D008297:Male; D011782:Quadriplegia / Q000209:etiology; D012086:Reoperation; D013123:Spinal Fusion / Q000009:adverse effects*