Management of Atlantoaxial Instability Due to a Pathological Fracture of the Axis

Metastases to the upper cervical spine are uncommon, and subsequent instability is rare. We report the details of a patient with metastatic breast cancer to the axis manifesting as a pathologic fracture and C1/C2 instability. This was treated by preoperative reduction to appropriate alignment with u...

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Detalles Bibliográficos
Autores principales: Thirunavu, Vineeth, Dahdaleh, Nader S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Neurosurgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331783/
https://www.ncbi.nlm.nih.gov/pubmed/32626633
http://dx.doi.org/10.7759/cureus.8951
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author Thirunavu, Vineeth
Dahdaleh, Nader S
author_facet Thirunavu, Vineeth
Dahdaleh, Nader S
author_sort Thirunavu, Vineeth
collection PubMed
description Metastases to the upper cervical spine are uncommon, and subsequent instability is rare. We report the details of a patient with metastatic breast cancer to the axis manifesting as a pathologic fracture and C1/C2 instability. This was treated by preoperative reduction to appropriate alignment with use of crown halo traction, followed by posterior occipitocervical fusion and postoperative radiation therapy. 
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spelling pubmed-73317832020-07-02 Management of Atlantoaxial Instability Due to a Pathological Fracture of the Axis Thirunavu, Vineeth Dahdaleh, Nader S Cureus Neurosurgery Metastases to the upper cervical spine are uncommon, and subsequent instability is rare. We report the details of a patient with metastatic breast cancer to the axis manifesting as a pathologic fracture and C1/C2 instability. This was treated by preoperative reduction to appropriate alignment with use of crown halo traction, followed by posterior occipitocervical fusion and postoperative radiation therapy.  Cureus 2020-07-01 /pmc/articles/PMC7331783/ /pubmed/32626633 http://dx.doi.org/10.7759/cureus.8951 Text en Copyright © 2020, Thirunavu et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Thirunavu, Vineeth
Dahdaleh, Nader S
Management of Atlantoaxial Instability Due to a Pathological Fracture of the Axis
title Management of Atlantoaxial Instability Due to a Pathological Fracture of the Axis
title_full Management of Atlantoaxial Instability Due to a Pathological Fracture of the Axis
title_fullStr Management of Atlantoaxial Instability Due to a Pathological Fracture of the Axis
title_full_unstemmed Management of Atlantoaxial Instability Due to a Pathological Fracture of the Axis
title_short Management of Atlantoaxial Instability Due to a Pathological Fracture of the Axis
title_sort management of atlantoaxial instability due to a pathological fracture of the axis
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331783/
https://www.ncbi.nlm.nih.gov/pubmed/32626633
http://dx.doi.org/10.7759/cureus.8951
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