Open AccessOccipito - C2 laminar screws fixation for treatment of chronic C1-2 instability
Author(s) -
Andrei Fernandes Joaquim,
Rodrigo Cavalcante,
Izair J. Rodrigues,
Marcelo Luís Mudo
Publication year - 2018
Publication title -
jornal brasileiro de neurocirurgia
Language(s) - English
Resource type - Journals
eISSN - 2446-6786
pISSN - 0103-5118
DOI - 10.22290/jbnc.v22i4.1049
Subject(s) - medicine , subluxation , fixation (population genetics) , context (archaeology) , surgery , atlantoaxial instability , decompression , cervical spine , geology , paleontology , population , alternative medicine , environmental health , pathology
Anomalies of the craniovertebral junction (CVJ) include a wide range of conditions, such as C1-2 chronic instability. Surgery is generally indicated in the context of neurological deficits, although the best surgical option to be chosen is controversy. Method: A 12-year-old girl with severe neurological deficits due to a chronic fixed C1-2 subluxation underwent to an occipito-C2 laminar screws fusion and posterior decompression, with significant neurological improvement after three months follow-up. Discussion: Treatment of cranio-cervical junction anomalies is challenging. An extensive knowledge of all the fixation techniques available for occipito-C1-2 fusion is needed due to frequent anatomical variations, to achieve good surgical results.