Indian J Med Microbiol Close
 

A) Operative photograph showing that despite ensuring positioning of the neck in strict neutral position with reduction of AAD, the posterior arch of the atlas appears much anterior to the lamina of axis due to hypoplasia of the ring of the atlas. There was severe thecal compression at this level. B) Operative photograph showing the occipitocervical fusion using the contoured rod with onlay bone grafts. A C1 laminectomy has been performed

A) Operative photograph showing that despite ensuring
positioning of the neck in strict neutral position with reduction of AAD, the posterior arch of the atlas appears much anterior to the lamina of axis due to hypoplasia of the ring of the atlas. There was severe thecal compression at this level. B) Operative photograph showing the occipitocervical fusion using the contoured rod with onlay bone grafts. A C1 laminectomy has been performed