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Revista Médica Electrónica

On-line version ISSN 1684-1824

Abstract

SIERRA BENITEZ, Enrique Marcos; GUERRA SANCHEZ, Rafael; SOCORRO IZQUIERDO, Yoel  and  LEON PEREZ, Mairianny Quianella. Occipito-cervical fusion in unstable fracture of Jefferson type atlas. Rev.Med.Electrón. [online]. 2020, vol.42, n.2, pp.1735-1742.  Epub Apr 30, 2020. ISSN 1684-1824.

Atlas fractures represent the second most common type of upper cervical spine injury. This work aims to describe the occipito-cervical fixation as a treatment for the unstable Jefferson-type atlas fracture. A patient suffering from spinal cord trauma is presented, after applying a thorough physical examination and the computed tomography of the cervical spine, a Jefferson type fracture of atlas with more than 7 mm of separation of its fragments is detected. As this is an unstable fracture of the upper cervical region, it was decided to perform an occipito-cervical fixation as a treatment method for this lesion. The postoperative evolution of the patient was uneventful.

Keywords : Occipito-cervical fusion; Jefferson-type fracture; instability.

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