[Atlanto-axial dislocation associated with os odontoideum. Reduction and fixation with sublaminar wires in Cl and pedicle screws in C2. Case report].
This report describes a case of atlanto-axial dislocation associated with os odontoideum. This 18-year-old male had a traumatic episode when he was 2 years old. As a result he suffered progressive chronic myelopathy on the verge of death. For the reduction and fixation of the atlanto-axial dislocation, sublaminar wires have been used anchored to C1 and to screws placed in the pedicles of C2. The authors present a surgical technique that has not been previously described.
Martínez-Flórez
P
P
Servicios de Neurocirugía y Radiología, Hospital Universitario de la Princesa, Madrid.
Chillón-Medina
D
D
Escosa-Bage
M
M
Manzanares-Soler
R
R
D000293:Adolescent; D001268:Atlanto-Axial Joint; D001863:Bone Screws; D001864:Bone Wires; D001270:Cervical Atlas / Q000002:abnormalities; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery*; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods