• World Neurosurg · Dec 2020

    Case Reports

    Atlantoaxial instability as a cause of Craniovertebral and cervical spinal alterations and dorsal kyphoscoliosis - a case report.

    • Atul Goel, Chandrima Biswas, Abhidha Shah, Hardik Darji, Sagar Bhambere, and Akshay Hawaldar.
    • Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Parel, Mumbai, India; Lilavati Hospital and Research Centre, Bandra (E), Mumbai, India. Electronic address: atulgoel62@hotmail.com.
    • World Neurosurg. 2020 Dec 1; 144: 39-42.

    BackgroundMusculoskeletal and neural alterations secondary to chronic atlantoaxial instability are evaluated.Case DescriptionAn 11-year-old girl presented with major symptoms of progressively worsening dorsal kyphoscoliosis (spinal kyphoscoliosis [SKS]). In addition to dorsal SKS, investigations revealed multiple craniovertebral and cervical spinal musculoskeletal abnormalities, Chiari formation, and syringomyelia. Dynamic imaging revealed atlantoaxial instability. Atlantoaxial stabilization resulted in rapid improvement in SKS, regression of tonsillar herniation, and resolution of syrinx.ConclusionsThe experience with the case showcases wide ranged spinal consequences as a result of chronic atlantoaxial instability.Copyright © 2020 Elsevier Inc. All rights reserved.

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