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Br J Neurosurg. 2010 Aug;24(4):499-501. doi: 10.3109/02688691003710528.

La maladie de Grisel treated by combined C1-2 transarticular and C1 lateral mass screw fixation.

Author information

1
Nuffield Department of Surgery, University of Oxford and Department of Neurological Surgery, The West Wing, The John Radcliffe Hospital, Oxford, UK. eacp@eacp.co.uk

Abstract

The authors describe a novel posterior approach to atlantoaxial stabilization combining C1-2 transarticular and C1 lateral mass screws with vertical connecting rods to create a strong construct with four-point fixation. They present here a case of atlanto-axial instability secondary to infection, Grisel's syndrome, necessitating instrumented stabilization after a period of close clinical and radiological observation following the initial cervical decompression and evacuation of retropharyngeal and epidural abscesses.

PMID:
20726762
DOI:
10.3109/02688691003710528
[Indexed for MEDLINE]

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