One stage reduction and fixation for atlantoaxial spondyloptosis: Report of four cases.

Abstract:

:We report four patients having an extremely rare and hitherto unreported clinical condition of spondyloptosis of the atlas over axis. Between the year 1999 and 2004, four patients with spondyloptosis were retrospectively analysed. The age of the patients ranged from 12 to 31 years. In three patients, the aetiology of spondyloptosis was probably congenital in nature and in one case it was secondary to rheumatoid disease. The patients presented with varying degrees of neck pain and spastic quadriparesis. All patients were successfully treated by atlantoaxial joint distraction, reduction of the dislocation and direct lateral mass plate and screw fixation by techniques described earlier by the senior author. Manipulation of the atlantoaxial joints and restoring the anatomical craniovertebral alignments is possible and probably an ideal treatment of cases with atlantoaxial spondyloptosis.

journal_name

Br J Neurosurg

authors

Goel A,Muzumdar D,Dange N

doi

10.1080/02688690600852274

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

209-13

issue

4

eissn

0268-8697

issn

1360-046X

pii

G434G12815744121

journal_volume

20

pub_type

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