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Indirect decompression for a prior severe C1-2 dislocation causing progressive quadriparesis

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Authors
Kim, Kyeong Hwan; Lee, Dong Bong; Kim, Ho-Joong; Riew, K. Daniel; Kim, Boo Seop; Chang, Bong-Soon; Lee, Choon-Ki; Yeom, Jin S.
Issue Date
2014-06
Publisher
American Association of Neurological Surgeons
Citation
Journal of Neurosurgery: Spine, Vol.20, pp. 709-713
Keywords
의약학dislocationindirect decompressionquadriparesiscervical
Abstract
Combined anterior and posterior surgery is frequently chosen for the treatment of prior, severe C1-2 dislocations that occurred during early childhood because of the difficulty in achieving reduction and satisfactory decompression. The authors treated a prior, severe C1-2 dislocation that was causing progressive quadriparesis. The patient was a 14-year-old boy who had suffered a C1-2 fracture-dislocation at 3 years of age and had been treated with a Minerva body jacket cast. The treatment involved posterior C1-2 segmental screw fixation, without direct bone decompression or additional surgery. Satisfactory neural decompression was achieved with the techniques used, and complete bone union was confirmed. The patient showed satisfactory neurological recovery at the 5-year follow-up assessment.
ISSN
1547-5654
Language
English
DOI
https://doi.org/10.3171/2014.2.SPINE1352
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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