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Child's Nervous System

, Volume 3, Issue 6, pp 368–370 | Cite as

Internal fixation for atlanto-axial instability in children

  • Graham A. Flint
  • Anthony D. Hockley
Original Papers

Abstract

A new and simple method for the operative treatment of atlanto-axial instability in children is described. The technique involves a metal rectangle wired in place between the occiput and cervical spine to act as an internal fixation device. Onlay bone grafts subsequently produce bony fusion. A synchronous decompression of the cervical canal can be performed and there is no need for complex or prolonged external fixation.

Key words

Atlanto-axial subluxation Down's syndrome Morquio's syndrome Occipitocervical fusion Internal fixation 

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References

  1. 1.
    Brookes AL, Jenkins EB (1978) Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg [Am] 60:279–284CrossRefGoogle Scholar
  2. 2.
    Collacott RA (1987) Atlanto-axial instability in Down's syndrome. Br Med J 294:988–989CrossRefGoogle Scholar
  3. 3.
    Crockard HA (1985) The transoral approach to the base of the brain and upper cervical cord. Ann R Coll Surg Engl 67:321–325PubMedPubMedCentralGoogle Scholar
  4. 4.
    Dawson EG, Smith L (1979) Atlanto-axial subluxation in children due to vertebral anomalies. J Bone Joint Surg [Am] 61:582–587CrossRefGoogle Scholar
  5. 5.
    Dove J (1986) Internal fixation of the lumbar spine: the Harshill rectangle. Clin Orthop 203:135–140Google Scholar
  6. 6.
    Luque ER (1982) The anatomic basis and development of spinal segmental instrumentation. Spine 7:256–259CrossRefGoogle Scholar
  7. 7.
    McGraw RW, Rusch RM (1973) Atlanto-axial arthrodesis. J Bone Joint Surg [Br] 55:482–489CrossRefGoogle Scholar
  8. 8.
    Najib MG, Maxwell RE, Chou MD (1984) Identification and management of high risk patients with Klippel-Feil syndrome. J Neurosurg 61:523–530CrossRefGoogle Scholar
  9. 9.
    Ransford AO, Crockard HA, Pozo JL, Thomas NP, Nelson IW (1986) Craniocervical instability treated by contoured loop fixation. J Bone Joint Surg [Br] 68:173–177CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • Graham A. Flint
    • 1
  • Anthony D. Hockley
    • 1
  1. 1.Ladywood MiddlewayThe Children's HospitalBirminghamUK

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