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Recurrent atlantoaxial rotatory fixation in children: a rare complication of a rare condition - Report of four cases

Crossman, JE; Thompson, D; Hayward, RD; Ransford, AO; Crockard, HA; (2004) Recurrent atlantoaxial rotatory fixation in children: a rare complication of a rare condition - Report of four cases. J NEUROSURG , 100 (3) 307 - 311.

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Abstract

Atlantoaxial rotatory fixation (AARF) is an uncommon condition of childhood. Occasionally AARF may recur. The authors describe the cases of four patients with recurrent AARF (RAARF).The probable cause of the RAARF and operative procedure selected are discussed. In three cases, attempts were made to stabilize the atlantoaxial complex rather than to perform fusion to preserve the function of the joint complex.Joint stabilization is performed by incorporating a "check ligament" into the joint construct between the axial spinous process and the atlantal lateral mass. The authors believe this technique of joint stabilization augments the strength of the joint, allowing normal, but preventing excessive, rotation, until the joint reaches physiological maturity.

Type: Article
Title: Recurrent atlantoaxial rotatory fixation in children: a rare complication of a rare condition - Report of four cases
Keywords: atlantoaxial rotatory fixation, recurrence, children, SUBLUXATION, DISLOCATION
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health > ICH Developmental Neurosciences Prog
URI: http://discovery.ucl.ac.uk/id/eprint/58070
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