Atlanto-axial rotatory fixation complicating ventriculo-peritoneal shunt surgery: a case report and literature review
Atlanto-axial rotatory fixation (AARF) is a rare complication of ventriculo-peritoneal shunt (VPS) surgery.
The authors present a unique case of AARF developing early after VP shunting, with persistent torticollis, a “cock-robin” head position, and a thick fibrous band along the catheter path. Due to refractoriness to conservative treatments, AARF, which can be an early-onset complication of VPS surgery, was resolved by removing the distal catheter along with the fibrous band encasing it.
Surgical removal of the fibrous band might be enough to solve such complication with no need of further surgical fusion procedures.
KeywordsPediatrics Atlanto-axial rotatory fixation Hydrocephalus Ventriculo-peritoneal shunt
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Informed consent was obtained from the patient and his parents.
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