Challenges of Transarticular Screw Fixation in Young Children: Report of Surgical Treatment of a 5-Year-Old Patient's Unstable Os-Odontoideum
Asian Spine Journal
;
: 950-954, 2016.
Article
in English
| WPRIM
| ID: wpr-125096
ABSTRACT
Surgical procedures for atlantoaxial (C1–C2) fusion in young children are relatively uncommon. The purpose of this study was to report on a surgical treatment for a case of atlantoaxial instability caused by os-odontoideum in association with quadriparesis and respiratory paralysis in a 5-year-old girl. We present the patient's history, physical examination, and radiographic findings, describe the surgical treatment and a five year follow-up, and provide a literature review. The instability was treated by halo immobilization, followed by C1–C2 transarticular screw fixation using a computed tomography-based navigation system. At the five year follow-up, the patient had made a complete recovery with solid union. The authors conclude that C1–2 transarticular screw fixation is technically possible as in a case of atlantoaxial instability in a five-year-old child.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Quadriplegia
/
Respiratory Paralysis
/
Follow-Up Studies
/
Immobilization
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Child
/
Child, preschool
/
Female
/
Humans
Language:
English
Journal:
Asian Spine Journal
Year:
2016
Type:
Article
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