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摘要:
BACKGROUND Posterior atlantoaxial dislocation(PAD)is a rare type of upper cervical spine disease.We sought to describe a unreported case of old PAD with os odontoideum(OO)and atlas hypoplasia(AH)and our unique treatment approach consisting of C1 single door laminoplasty with C1-3 posterior fixation and fusion.CASE SUMMARY A 70-year-old male patient who suffered from progressive aggravating numbness and limb weakness for 4 years without trauma,was diagnosed with old PAD with OO and AH.The patient underwent closed reduction and C1 single door laminoplasty with C1-3 posterior fixation and fusion instead of C1 laminectomy with occipitocervical fusion.During the 3-year follow-up,he was able to walk by himself instead of using a wheelchair and with a±25°range of head rotation as well as a±10°range of flexion-extension.Three-year follow-up images showed satisfactory reduction and fusion.CONCLUSION C1 single door laminoplasty with cervical fusion in PAD combined with spinal cord compression could be a suitable and effective surgical option.Compared with laminectomy and occipitocervical fusion,it retains more cervical range of motion,has a smaller incision and provides an adequate bone grafting space for atlantoaxial fusion.
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篇名 Single door laminoplasty plus posterior fusion for posterior atlantoaxial dislocation with congenital malformation:A case report and review of literature
来源期刊 世界临床病例杂志 学科 医学
关键词 Posterior atlantoaxial dislocation C1 laminoplasty Os odontoideum Atlas hypoplasia Case report
年,卷(期) 2020,(23) 所属期刊栏目
研究方向 页码范围 6136-6143
页数 8页 分类号 R61
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Posterior
atlantoaxial
dislocation
C1
laminoplasty
Os
odontoideum
Atlas
hypoplasia
Case
report
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研究去脉
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期刊影响力
世界临床病例杂志
半月刊
2307-8960
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
433
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1
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0
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