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Journal of Bone and Joint Surgery, 1960;42:1377-1380.
© 1960 by The Journal of Bone and Joint Surgery, Inc

Congenital Malformation of the Atlanto-Axial Joint with Dislocation

Earl W. Brannon 1

1 Department of Orthopaedic Surgery, United States Air Force Hospital, Lackland, San Antonio, Texas

A patient is reported who had progressive neurological changes secondary to congenital malformation and subluxation of the atlanto-axial joint. An occipitocervical fusion was performed as a prophylactic measure. A severe neck injury of the flexion-extension type thirteen months after operation resulted in only minor symptoms. Had this patient's atlanto-axial joint not been stabilized by a solid fusion prior to this accident, transection of the cord might well have been the outcome.


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