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ATLANTO-AXIAL FRACTURE-DISLOCATIONS

Failure of Posterior C.1 to C.2 Fusion

Larry C. Fried 1

1 Division of Neurological Surgery, Medical College of Virginia, Virginia Commonwealth University; Richmond, Virginia, United States of America

1. Ten consecutive cases of acute atlanto-axial fracture dislocation were treated by posterior C.1-C.2 fusion.

2. In eight cases there was significant redislocation warranting further therapy.

3. Operative fusion together with prolonged firm immobilisation are recommended only after a trial of conservative therapy.
(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General