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Non-traumatic atlanto-axial subluxation in an 8-year-old child

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Abstract

An 8-year-old child with a previous history of neonatal retropharyngeal abscess presented with a 6-month history of progressive quadriparesis. Investigations demonstrated atlanto-axial subluxation with anterior displacement of the odontoid peg to a position anterior to the vertebral body of C2. Magnetic resonance imaging confirmed severe neural compression at this level. The child was placed in a halo fixation device and underwent transoral removal of the odontoid peg together with the upper part of the body of C2. At a subsequent procedure a posterior occipito-cervical fusion was performed. The aetiology and management of this case are discussed.

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Authors and Affiliations

  1. Department of Neurosurgery, Mater Private Hospital, Eccles Street, Dublin 7, Ireland

    Padraic O'Neill

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  1. Padraic O'Neill
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O'Neill, P. Non-traumatic atlanto-axial subluxation in an 8-year-old child. Child's Nerv Syst 10, 396–398 (1994). https://doi.org/10.1007/BF00335130

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  • DOI: https://doi.org/10.1007/BF00335130

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