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KMID : 0359819770060010227
Journal of Korean Neurosurgical Society
1977 Volume.6 No. 1 p.227 ~ p.231
Occipito-Cervical Fusion for Atlanto-Axial Subluxation




Abstract
The authors performed occipito-cervical (C2-3) fusion-in a case of atlanto-axial-subluxation caused by congenital seperation of dens.
At first posterior cervical fusion (Cl-2-3) with rib graft was performed, but several days after the operation Cl-2 subluxation developed again with cervical cord compression syndrome. In the second operation, the occiput was included in the fusion after removal of -the posterior neural arch of atlas which resulted in good reduction and marked improvement in neurologic symptoms.
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