C1/2 Spine Fusion Surgery for Pediatric Atlantoaxial Rotatory Subluxation Yasuaki Murata 1 , Motoya Kubota 1 , Koichi Kanaya 1 , Hiroyoshi Wada 1 , Keiji Wada 1 , Masahiro Shiba 1 , Satoshi Hatta 1 , Yoshiharu Kato 1 1Department of Orthopaedic Surgery,Tokyo Women's Medical University Keyword: 環軸関節回旋不安定症(atlantoaxial rotatory subluxation) , 固定術(fusion surgery) , 小児(children) pp.961-965
Published Date 2010/10/25
DOI https://doi.org/10.11477/mf.1408101826
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Objectives:To report our experience with treatment of atlantoaxial rotatory subluxation in children by fusion surgery.

Materials and Methods:Atlantoaxial fusion surgery was performed in patients who could not be cured conservatively.

Results:The Brooks method was performed in 3 cases and the Magerl and Brooks method in 4 cases. Bony fusion of the atlantoaxial spine and resolution of symptoms, including neck pain, torticollis, and myelopathy, was achieved in every case. Postoperative examinations revealed almost full ranges of neck motion.

Conclusions:It was possible to perform the Brooks method in patients over 3 years old and the Magerl and Brooks methods in patients over 7 years old. All of the patients experienced resolution of symptoms and had no complications.

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