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Vol. 15. Issue 6.
Pages 604-608 (January 2004)
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Vol. 15. Issue 6.
Pages 604-608 (January 2004)
Subluxación atloaxoidea. “Os odontoideum”. Reducción y fijación posterior con alambres sublaminares en Cl anclados en tornillos pediculares de C2. Caso clínico
Atlanto-axial dislocation associated with os odontoideum. Reduction and fixation with sublaminar wires in Cl and pedicle screws in C2. Case report
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3837
P. Martínez-Flórez, D. Chillón-Medina
, M. Escosa-Bage
Servicios de Neurocirugía. Hospital Universitario de la Princesa, Madrid
R. Manzanares-Soler*
* Servicios de Neurocirugía y Radiología. Hospital Universitario de la Princesa, Madrid
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Resumen

Se presenta un caso de subluxación atlo-axoidea asociada a “os odontoideum”, en un varón de 18 años con un antecedente traumático a los 2 años de edad, que padece una mielopatía crónica progresiva al borde de la supervivencia. Para la reducción y fijación de la luxación se han utilizado alambres sublaminares en Cl anclados a tornillos fijados en los pedículos de C2. Se comenta la técnica, no conociendo ningún precedente de la misma.

Palabras clave:
Subluxación atloaxoidea
“Os odontoideum”
Fijación atloaxoidea
Reducción
Alambres sublaminares
Tornillos pediculares C2
Summary

This report describes a case of atlanto-axial dislocation associated with os odontoideum. This 18-year-old male had a traumatic episode when he was 2 years oíd. As a result he suffered progressive chronic myelopathy on the verge of death. For the reduction and fixation of the atlanto-axial dislocation, sublaminar wires have been used anchored to Cl and to screws placed in the pedicles of C2. The authors present a surgical technique that has not been previously described.

Key words:
Atlanto-axial dislocation
“Os odontoideum”
Reduction
Fixation
Sublaminar wires
Pedicle screws of C2

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