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Occipitocervical Fusion for Extreme Atlantoaxial Dislocation in an Underdeveloped Youngster with Chondrodysplasia Punctata: A Case Report.

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Occipitocervical Fusion for Extreme Atlantoaxial Dislocation in an Underdeveloped Youngster with Chondrodysplasia Punctata: A Case Report.

JBJS Case Join. 2017 Jan-Mar;7(1):e16

Authors: Tanaka Y, Watanabe Ok, Katsumi Ok, Ohashi M, Nagasaki Ok, Hirano T

Summary
CASE: We current a case of brachytelephalangic chondrodysplasia punctata with a extreme atlantoaxial dislocation in an underdeveloped baby. The affected person underwent halo jacket software utilizing 10 halo pins with <1 lb/in of torque, adopted by posterior occipitocervical fusion with onlay rib and iliac autografts. After bone grafts and alternative of the halo ring a number of instances, profitable osseous fusion had been achieved by the 2-year follow-up.
CONCLUSION: Though easy bone-grafting with a halo jacket is beneficial in underdeveloped sufferers with skeletal dysplasia, the problems associated to halo fixation, together with cranial bone perforation, and the affected person’s neurological standing have to be fastidiously monitored.

PMID: 29244697 [PubMed – indexed for MEDLINE]

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