• World Neurosurg · Nov 2017

    Case Reports

    Condylar joint fusion and stabilization (by screws & plates) in nontraumatic atlanto-occipital dislocation (AOD). Technical report of two cases.

    • Forhad H Chowdhury, Mohammod Raziul Haque, Sarwar Murshed Alam, S M Noman Khaled Chowdhury, Shamsul Islam Khan, and Atul Goel.
    • Department of Neurosurgery, National Institute of Neurosciences and Hospital, Shere-e-bangla nagar, Dhaka, Bangladesh. Electronic address: forhadchowdhury74@yahoo.com.
    • World Neurosurg. 2017 Nov 1; 107: 54-62.

    BackgroundNontraumatic spontaneous atlanto-occipital dislocation (AOD) is rare. In this report, we discuss the technical steps of condylar joint fusion and stabilization (by screws and plates) in nontraumatic AOD. To the best of our knowledge, it is the first report of such techniques.Material And MethodsA young girl and a young man with progressive quadriparesis due to nontraumatic spontaneous atlanto-occipital dislocation were managed by microsurgical reduction, fusion, and stabilization of the joint by occipital condylar and C1 lateral mass screw and plate fixation after mobilization of vertebral artery.ResultIn both cases, condylar joints fixation and fusion were done successfully.ConclusionCondylar joint stabilization and fusion may be a good or alternative option for AOD.Copyright © 2017 Elsevier Inc. All rights reserved.

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