Pediatric atlantoaxial dislocation: Nuances in management

Article type: Research Article

Authors: Kumar, Raj | Kalra, Samir K.

Affiliations: Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Note: [] Correspondence: Dr. Raj Kumar, Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow – 226014, U.P. India. Tel.: +91 522 2668700, 2668800 Ext. 2157 (C), 2158 (R), 2107 (OT), 2741 (O); Fax: +91 522 2668129 & 2668017; E-mail: [email protected]

Abstract: Craniovertebral junction is a complex transition zone between cranium and rostral spinal column. Many conditions affect and destabilize this junction with congenital atlantoaxial dislocation being the commonest. The unique anatomy of craniovertebral junction poses specific management difficulties especially in children. It requires a comprehensive understanding of the biomechanics and nuances of this complex entity to manage it efficiently. The problems in management are encountered at all stages starting from history, clinical examination, diagnosis to surgery. An individualistic approach to each case is suggested for proper management.

Keywords: Atlantoaxial dislocation, basilar invagination

Journal: Journal of Pediatric Neurology, vol. 5, no. 1, pp. 1-8, 2007