Management of Craniovertebral Junction Tuberculosis Presenting with Atlantoaxial Dislocation

  • Granit MolliqajEmail author
  • Philipp Dammann
  • Karl Schaller
  • Ulrich Sure
  • Enrico Tessitore
Part of the Acta Neurochirurgica Supplement book series (NEUROCHIRURGICA, volume 125)


Tuberculosis (TB) rarely involves the craniovertebral junction (CVJ). Atlantoaxial dislocation (AAD) is one of the most commonly encountered lesions in craniocervical TB. The incidence of TB and its craniovertebral manifestation is increasing even in developed countries because of intercontinental migration and increased prevalence rates of immunosuppression conditions. While the treatment of craniovertebral TB is well standardized and relies on conservative measures, the treatment of TB with AAD is disputable. In this paper we present a review of the literature and elucidate our approach to craniovertebral TB with AAD through a case illustration.


Tuberculosis Craniovertebral junction Atlantoaxial dislocation Craniocervical fixation 


Competing Interests

The authors declare that they have no competing interests.

Compliance with Ethical Standards

No financial support was received for this work.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Granit Molliqaj
    • 1
    Email author
  • Philipp Dammann
    • 1
    • 2
  • Karl Schaller
    • 1
  • Ulrich Sure
    • 2
  • Enrico Tessitore
    • 1
  1. 1.Department of NeurosurgeryGeneva University HospitalsGenevaSwitzerland
  2. 2.Department of NeurosurgeryUniversity Hospital EssenEssenGermany

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