|
KMID : 1189320160100050950
|
|
Asian Spine Journal
2016 Volume.10 No. 5 p.950 ~ p.954
|
|
|
Challenges of Transarticular Screw Fixation in Young Children: Report of Surgical Treatment of a 5-Year-Old Patient's Unstable Os-Odontoideum
|
|
Takahashi Jun
Hirabayashi Hiroki
Hashidate Hiroyuki
Ogihara Nobuhide
Mukaiyama Keijiro
Komatsu Masatoshi
Inaba Yuji
Kosho Tomoki
Kato Hiroyuki
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Atlantoaxial instability, Os-odontoideum, C1-C2 Transarticular screw fixation, CT-based navigation system, Young children
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|