ABSTRACT
Background: Only a few cases of traumatic atlantoaxial fracture-dislocation have been reported, and neglected cases are seldom found because of the fatal nature of this condition.
Methods: We reported a neglected case of Jefferson fracture-dislocation associated with type II displaced odontoid peg fracture which was nonambulatory and myelopathic. A surgical plan involving posterior fossa decompression and laminectomy of the posterior arch of atlas following posterior spinal instrumentation was then conducted.
Results: Patient experienced marked neurologic recovery and was able to stand and walk with assistance during the early postoperative period.
Conclusions: This procedure may be an effective alternative treatment in neglected cases.
- neglected
- Jefferson fracture-dislocation
- odontoid peg fracture
- posterior fossa decompression
- occipitocervical fusion
Footnotes
Disclosures and COI: None of the authors received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
- ©International Society for the Advancement of Spine Surgery
- Copyright © 2019 ISASS - This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery
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