test Browse by Author Names Browse by Titles of Works Browse by Subjects of Works Browse by Issue Dates of Works

Advanced Search
& Collections
Issue Date   
Sign on to:   
Receive email
My Account
authorized users
Edit Profile   
About T-Space   

T-Space at The University of Toronto Libraries >
University of Toronto at Scarborough >
Bioline International Legacy Collection >
Bioline International Legacy Collection >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/1267

Title: REVIEW ARTICLE - Management of Congenital Atlanto-Axial Dislocation : Some Lessons Learnt
Authors: Jain, V. K.
Behari, S.
Issue Date: Dec-2002
Publisher: Medknow Publications on behalf of the Neurological Society of India
Citation: Neurology India 50(4)
Abstract: Congenital atlantoaxial dislocation (AAD) has a high incidence in India. In these patients, even a minor trauma may precipitate severe morbidity. The management of mobile AAD consists of posterior stabilization. In fixed AAD, the offending compressive element is present anterior to the cervicomedullary junction, which should be generously removed by the transoral approach. In many of these patients, the assimilated posterior arch of atlas or the incurving posterior margin of the foramen magnum or associated Chiari I malformation also adds to the compromise of the canal diameter at the foramen magnum. Thus, in cases of fixed AAD, the hour glass appearance of the spinal canal at the craniovertebral junction should be converted into a funnel shaped appearance which is close to normal. Since these procedures require a generous removal of the osteoligamentous structures, posterior fusion should be done in all cases after decompressive surgery. In this review, the observations that emerged during the management of congenital AAD are presented with a special focus on the assessment scales modified to the Indian settings, hypermobile AAD, rotary C1-2 dislocation, andAAD associated with Chiari I malformation and syringomyelia.
URI: http://bioline.utsc.utoronto.ca/archive/00000396/01/ni02112.pdf
Appears in Collections:Bioline International Legacy Collection

Files in This Item:

File Description SizeFormat
ni02112.pdf267.03 kBAdobe PDF

Items in T-Space are protected by copyright, with all rights reserved, unless otherwise indicated.