Combined Chronic Occipito-atlantal and Atlanto-axial Rotator Fixation with Cerebral Palsy.
Korean J Spine
; 10(3): 192-4, 2013 Sep.
Article
in En
| MEDLINE
| ID: mdl-24757487
ABSTRACT
Occipito-atlantalrotatory subluxation that occurs in conjunction with atlanto-axial rotator fixation is extremely rare. The common clinical characteristics are painful torticollis and cock robin position presented with the head tilted to one side and rotated to the other side. The object of this report is to emphasize that AARF combined with OARF may be caused by a variety of conditions, to be must need algorithm for proper management, apparently. A torticollis patient who had cerebral palsy presented with severe nuchal pain and wryneck for a long period. The patient had a history of fallen down 16 years ago which caused severe nuchal pain. The conservative management had failed to correct the deformity and instability. we decided to operate using occiput-C1-C2 arthrodesis and C3-4-5 bilateral screw fixation for reinforcement. Now he doesn't have neurologic deficit and shows good outcome enough to sustain his head, not using his hands, in his daily life.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Korean J Spine
Year:
2013
Document type:
Article
Country of publication:
COREA DEL SUR
/
CORÉIA DO SUL
/
KR
/
SOUTH KOREA