La maladie de Grisel treated by combined C1-2 transarticular and C1 lateral mass screw fixation.
The authors describe a novel posterior approach to atlantoaxial stabilization combining C1-2 transarticular and C1 lateral mass screws with vertical connecting rods to create a strong construct with four-point fixation. They present here a case of atlanto-axial instability secondary to infection, Grisel's syndrome, necessitating instrumented stabilization after a period of close clinical and radiological observation following the initial cervical decompression and evacuation of retropharyngeal and epidural abscesses.
Pereira
E A C
EA
Nuffield Department of Surgery, University of Oxford and Department of Neurological Surgery, The West Wing, The John Radcliffe Hospital, Oxford, UK. eacp@eacp.co.uk
Hempenstall
J
J
Pretorius
P M
PM
Kamat
A A
AA
Cadoux-Hudson
T A D
TA
D000368:Aged; D001268:Atlanto-Axial Joint / Q000293:injuries*; D001863:Bone Screws; D006801:Humans; D004204:Joint Dislocations / Q000382:microbiology / Q000601:surgery*; D007593:Joint Instability / Q000382:microbiology / Q000601:surgery*; D007796:Laminectomy / Q000379:methods*; D008297:Male; D013203:Staphylococcal Infections / Q000150:complications*; D016896:Treatment Outcome