Internal Wiring Fixation of Atlantoaxial Dislocation Caused by Odontoid Fracture in a Child.
- Author:
Byung Il CHO
1
;
Jae Soo LEE
;
Min Woo PAIK
;
Joon Ki KANG
;
Jin Un SONG
Author Information
1. Department of Neurosurgery, Catholic Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Atlanto-axial dislocation;
Odontoid fracture;
Internal fixation
- MeSH:
Brain Injuries;
Child*;
Craniocerebral Trauma;
Diagnosis;
Dislocations*;
Humans;
Immobilization;
Odontoid Process;
Spine;
Traction
- From:Journal of Korean Neurosurgical Society
1982;11(3):367-372
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although most patients with cervical fractures have damaged the lower cervical spine, there remain a significant number whose injury involve the atlanto-axial level. Since the diagnosis of fracture of he odontoid process was initially missed frequently, it is worth emphasizing the importance of adequate radiological studies for this potentially lethal lesion in head injury patient. The treatment for fractures of the odontoid process has consisted of reduction followed by immobilization using skeletal traction, a plaster case or halo device, or internal fixation by surgical intervention. The advantages of early surgical treatment to minimize external immobilization or prolonged bed confinement are generally accepted but the surgical techniques have varied widely. The authors have managed a case of traumatic atlanto-axial dislocation in a child combined with severe brain injury by internal fixation using wire only after reduction of the dislocation was accomplished by skeletal traction. The available literature regarding this injury is reviewed.
