[Open reduction and dorsal spondylodesis C0-C2 in atlanto-occipital dislocation].
We report the case of a 73-year-old male patient who was suffered trauma after a syncopal fall onto a railway track in the form of an atlanto-occipital dislocation. The diagnostic revealed a bilateral fracture of the occipital condyles coupled with a ventral atlanto-occipital dislocation (Jeanneret type 4) and also an odontoid fracture (Anderson type 2). The patient underwent dorsal spondylodesis of C0-C2 in combination with Magerl's C1-C2 screw fixation. Pre-operatively and postoperatively no neurological abnormalities were found. This rarely occurring and survived traumatological situation is described using the present case as an example.
John-Puthenveettil
B S
BS
Klinik für Orthopädische Chirurgie und Traumatologie des Bewegungsapparates, Kantonsspital St. Gallen, CH-9007, St. Gallen, Schweiz. binu@gmx.de
Neff
A
A
Kröber
M
M
D000368:Aged; D001269:Atlanto-Occipital Joint / Q000293:injuries* / Q000601:surgery*; D001863:Bone Screws; D003131:Combined Modality Therapy; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D013123:Spinal Fusion / Q000295:instrumentation* / Q000379:methods*; D016896:Treatment Outcome