Chronic atraumatic atlantoaxial rotatory fixation with anterolisthesis

Kato, Yoshiharu; Ito, Shunichi; Kubota, Motoya; Kanaya, K.; Itoh, T.

doi:10.1007/s00776-006-1085-y

Cited by 3 publications

(2 citation statements)

References 16 publications

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Section: Advantages Of Ultra-high Molecular Weight Polyethylene Tapementioning

confidence: 99%

Posterior Surgery for Adolescent Idiopathic Scoliosis With Pedicle Screws and Ultrahigh–Molecular Weight Polyethylene Tape

Imagama

Ito

Wakao

et al. 2016

Clinical Spine Surgery: A Spine Publication

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Section: Advantages Of Ultra-high Molecular Weight Polyethylene Tapementioning

confidence: 99%

Posterior Surgery for Adolescent Idiopathic Scoliosis With Pedicle Screws and Ultrahigh–Molecular Weight Polyethylene Tape

Imagama

Ito

Wakao

et al. 2016

Clinical Spine Surgery: A Spine Publication

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“…On the other hand, atlantoaxial fixation is uncommon but most commonly occurs in children. This condition is associated with minor trauma, infection of the neck or pharynx, and pharyngeal surgery [4]. However, atlantoaxial rotatory fixation occurring with OI without cervical fracture is very rare.…”

Section: Introductionmentioning

confidence: 99%

Osteogenesis imperfecta associated with atlantoaxial rotatory fixation

Baba

Shitoto

Maruyama

2011

Eur Orthop Traumatol

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Case A 4-year-old male with osteogenesis imperfecta fell 2 weeks earlier and developed cervical pain. He was brought to our hospital due to a lack of improvement in the symptoms. Cervical pain was absent at rest, but active and passive movements were impossible due to its presence. CT showed atlantoaxial rotatory fixation. Continuous indirect traction was performed with a 1-kg weight increasing up to 1.5 kg for a total of 3 weeks. Although cervical pain and limitations of the range of motion disappeared, a neck collar was applied as precaution for 2 weeks. Discussion Osteogenesis imperfecta accompanied by atlantoaxial rotatory fixation rarely occurs. There has been no report of preschool children with this condition. In our patient with osteogenesis imperfecta showing bone fragility, falling could have induced cervical fracture, but he was not subjected to an external force causing fracture, and as a result, joint laxity may have induced atlantoaxial rotatory fixation.

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Surgical treatment for chronic atlantoaxial rotatory fixation in children

Tauchi

Imagama

Ito

et al. 2013

Journal of Pediatric Orthopaedics B

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Six consecutive pediatric patients with chronic atlantoaxial rotatory fixation (AARF) underwent posterior fixation. All patients were first treated conservatively such as with a neck collar, traction, Minerva jacket, or halo-vest; however, they failed to achieve successful reduction because of the C2 facet deformity or C1-2 facet fusion. We performed C1-2 fusion using a C1 lateral mass screw and a C2 pedicle screw, a C1-2 transarticular screw, or an occipitocervical fusion using a rod and wiring system. Five patients achieved solid fusion with no torticollis or neck pain by the final follow-up. One patient had mild torticollis after surgery but no pain. Although we believe that with early diagnosis of AARF and appropriate conservative treatment we can avoid surgery, even with conservative treatment from the onset of symptoms, five patients in our series required surgery because conservative treatment did not lead to successful reduction. When conservative treatment for chronic AARF patients fails, C1-2 transarticular fixation, and C1 lateral mass screw and C2 pedicle screw fixation are reliable methods to treat these patients.

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Chronic atraumatic atlantoaxial rotatory fixation with anterolisthesis

Cited by 3 publications

References 16 publications

Posterior Surgery for Adolescent Idiopathic Scoliosis With Pedicle Screws and Ultrahigh–Molecular Weight Polyethylene Tape

Posterior Surgery for Adolescent Idiopathic Scoliosis With Pedicle Screws and Ultrahigh–Molecular Weight Polyethylene Tape

Osteogenesis imperfecta associated with atlantoaxial rotatory fixation

Surgical treatment for chronic atlantoaxial rotatory fixation in children

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