Challenges of Transarticular Screw Fixation in Young Children: Report of Surgical Treatment of a 5-Year-Old Patient's Unstable Os-Odontoideum
Asian Spine Journal
; : 950-954, 2016.
Article
ي En
| WPRIM
| ID: wpr-125096
المكتبة المسؤولة:
WPRO
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.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Physical Examination
/
Quadriplegia
/
Respiratory Paralysis
/
Follow-Up Studies
/
Immobilization
نوع الدراسة:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
المحددات:
Child
/
Child, preschool
/
Female
/
Humans
اللغة:
En
مجلة:
Asian Spine Journal
السنة:
2016
نوع:
Article