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The Journal of Bone and Joint Surgery, Vol 57, Issue 3 332-336, Copyright © 1975 by Journal of Bone and Joint Surgery, Inc

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Avascular necrosis of the proximal end of the dens. A complication of halo-pelvic distraction

SJ Tredwell and JP O'Brien

Roentgenographic evidence of avascular necrosis of the upper part of the dens was observed in thirteen of ninety-four patients treated for tuberculous kyphosis or non-tuberculous scoliosis using halo-pelvic distraction. Four patients had some residual loss of motion. A significant relationship was demonstrated between avascular necrosis and the amount of distraction visible on roentgenograms.
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