Recurrent Atlantoaxial Rotatory Fixation after failed posterior fusion: A Case Report & Review of the Literature.

Background Data: AARF is a well-known disease entity as well as its recurrent form. However, recurrent AARF after posterior fusion was not reported before. This is the first report of a case of revisited recurrent AARF2 years after posterior fusion. Purpose: To describe the clinical and radiographic...

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Autores principales: Ali Abou-Madawi, Sherif El-Khateeb
Formato: article
Lenguaje:EN
Publicado: Egyptian Spine Association 2012
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Acceso en línea:https://doaj.org/article/fb3095ac0fb2400281203fd902499ab8
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Sumario:Background Data: AARF is a well-known disease entity as well as its recurrent form. However, recurrent AARF after posterior fusion was not reported before. This is the first report of a case of revisited recurrent AARF2 years after posterior fusion. Purpose: To describe the clinical and radiographic featuresand management of revisited recurrent AARF. Study Design: Case report. Methods: A type II AARF as described by Fielding recurred shortly after external orthosis in an 8 years old girl. She was subjected to traction until reduction and modified Sonntag fusion. The condition recurred after 2 years. She was put into traction for reduction. She was subjected for Harms’ posterior fusion. Results: Traction followed by C1 lateral mass and C2 pedicle screw fixation and fusion was successful in the management of a recurrent AARF. Conclusion: Recurrent AARF can occur even after failed posterior fusion. Harms’ posterior fusion is a sound procedure for the management of recurrent AARF.(2012ESJ015)