Internal fixation for atlanto-axial instability in children
β Scribed by Graham A. Flint; Anthony D. Hockley
- Publisher
- Springer
- Year
- 1987
- Tongue
- English
- Weight
- 492 KB
- Volume
- 3
- Category
- Article
- ISSN
- 0256-7040
No coin nor oath required. For personal study only.
β¦ Synopsis
A new and simple method for the operative treatment of atlanto-axial instability in children is described. The technique involves a metal rectangle wired in place between the occiput and cervical spine to act as an internal fixation device. Onlay bone grafts subsequently produce bony fusion. A synchronous decompression of the cervical canal can be performed and there is no need for complex or prolonged external fixation.
π SIMILAR VOLUMES
A modification of common methods is described for fixation of anterior and inferior atlanto-axial dislocation (AAD and IAD). In AAD a wire is passed around the atlas arch and knotted around the spinous process of the axis in a way that a figure 8 arrangement is achieved as seen in the lateral view.