Conservative treatment is reported in a child with atlantoaxial rotatory fixation. Three-dimensional (3D) computerized tomography (CT) and magnetic resonance (MR) imaging demonstrated the degree of dislocation and alar ligament damage. A rigid cervical collar and muscle relaxant agents without any traction allowed full recovery. Control 3D CT scanning and MR imaging findings are reported.
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http://dx.doi.org/10.3171/ped.2005.103.6.0563 | DOI Listing |
Acta Neurochir (Wien)
December 2024
Department of Spine Surgery, Zentralklinik Bad Berka, Bad Berka, Germany.
Purpose: This study introduces a retrospective analysis of the surgical management of 213 consecutive cases of cervical spine metastases and Multiple Myeloma Cases.
Materials And Methods: Retrospective analysis of prospectively collected data in a single surgical center of patients who underwent surgery for tumors of the cervical spine between 1994 and 2017. Exclusion criteria were intradural tumors and primary tumors.
Cureus
November 2024
Neurosurgery, King Hamad University Hospital, Busaiteen, BHR.
This report presents the case of a seven-year-old child diagnosed with Grisel's syndrome following a craniotomy for a cystic brain lesion. The patient initially presented with persistent, progressively worsening headaches that coincided with neurological symptoms. Imaging revealed a massive cystic lesion causing a significant compression and midline shift.
View Article and Find Full Text PDFClin Neurol Neurosurg
December 2024
Clinic of Radiology, Bahçeşehir University Göztepe Medical Park Hospital, Istanbul, Turkey.
Introduction: Os odontoideum (OO) is a rare anatomic variant of the axis characterized by the separation of a part of the axis. It may cause cervical instability, atlantoaxial dislocation, myelopathy, or permanent paralysis. We present an extremely rare case of an OO with posterior atlantoaxial dislocation in a child.
View Article and Find Full Text PDFJ Child Orthop
December 2024
Department of Pediatric Orthopaedics, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Purpose: The purpose of this study is to retrospectively analyze children treated conservatively in our hospital to explore the clinical characteristics of children with traumatic atlantoaxial joint infra-anterior dislocation complicating odontoid fracture and the therapeutic effects of treatment.
Methods: Patients with atlantoaxial joint infra-anterior dislocation complicating odontoid fracture received conservative treatment, which comprised three steps: cervical traction (2 weeks), plaster fixation (2 months), and brace fixation (3 months).
Results: We treated three patients (boy:girl = 0:3, mean age = 2.
J Neurosurg Pediatr
November 2024
1Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville.
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