PT  - JOURNAL ARTICLE
AU  - Biakto, Karya T.
AU  - Arifin, Jainal
AU  - Lee, Jansen
AU  - Benjamin, Michael
TI  - Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report
AID  - 10.14444/6001
DP  - 2019 Feb 01
TA  - International Journal of Spine Surgery
PG  - 6001
4099  - https://www.ijssurgery.com/content/early/2019/02/01/6001.short
4100  - https://www.ijssurgery.com/content/early/2019/02/01/6001.full
AB  - 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.