Author:
Clark W. Craig,Coscia Michael,Acker James D.,Wainscott Keith,Robertson James T.
Abstract
✓ This paper reports the third described case of infection-related atlantoaxial subluxation in an adult. Like most of the similar cases seen in the pediatric literature, this case was associated with a parapharyngeal β-hemolytic streptococcal abscess. Based upon this experience, the authors advocate intravenous antibiotic therapy and 1) immediate reduction followed by application of a halo brace; 2) immobilization in a halo brace for at least 3 months; and 3) a C1–2 wiring and fusion procedure for patients who fail this trial of conservative therapy.
Publisher
Journal of Neurosurgery Publishing Group (JNSPG)
Cited by
23 articles.
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