Child's Nervous System

, Volume 3, Issue 6, pp 368–370 | Cite as

Internal fixation for atlanto-axial instability in children

  • Graham A. Flint
  • Anthony D. Hockley
Original Papers


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.

Key words

Atlanto-axial subluxation Down's syndrome Morquio's syndrome Occipitocervical fusion Internal fixation 


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Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • Graham A. Flint
    • 1
  • Anthony D. Hockley
    • 1
  1. 1.Ladywood MiddlewayThe Children's HospitalBirminghamUK

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