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Indirect decompression for a prior severe C1-2 dislocation causing progressive quadriparesis
Cited 1 time in
Web of Science
Cited 1 time in Scopus
- Authors
- Issue Date
- 2014
- Citation
- Journal of Neurosurgery: Spine, vol.20 no.6, pp. 709-713
- Keywords
- dislocation ; indirect decompression ; quadriparesis ; cervical
- 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.
American Association of Neurological Surgeons
- Language
- English
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