Indian J Med Microbiol Close
 

Figure 2: An 11-year-old child presented with acute spastic quadriparesis (Nurick grade III) after a trivial trauma. Radiology showed evidence of atlantoaxial dislocation (A). The patient was operated from posterior approach and occipital-atlas (lateral mass) and axis (pars inter-articularis) fixation was done (C) but the child deteriorated in immediate postoperative period and his ventilator requirement kept on persisting. On the third postoperative day, we did transoral odontoidectomy (B) and patient improved thereafter (D). The child was discharged on the 14th postoperative day and is able to so all his routine activities after 2 years of follow-up

Figure 2: An 11-year-old child presented with acute spastic quadriparesis (Nurick grade III) after a trivial trauma. Radiology showed evidence of atlantoaxial dislocation (A). The patient was operated from posterior approach and occipital-atlas (lateral mass) and axis (pars inter-articularis) fixation was done (C) but the child deteriorated in immediate postoperative period and his ventilator requirement kept on persisting. On the third postoperative day, we did transoral odontoidectomy (B) and patient improved thereafter (D). The child was discharged on the 14th postoperative day and is able to so all his routine activities after 2 years of follow-up