J Korean Soc Spine Surg.  2004 Jun;11(2):121-124. 10.4184/jkss.2004.11.2.121.

Double Plate Occipitocervical Fusion After Failed Posterior Fusion C 1-2 With Wiring

Affiliations
  • 1Department of Orthopaedic Surgery, College of Medicine, Dong-A University, Busan, Korea. gylee@mail.donga.ac.kr

Abstract

A 31-year-old female complained of neck pain and limitation in neck motion. She had a 3 month history of treatment with Halovest at another hospital for a fracture of the odontoid process due to a car accident. The patient complained of persistent pain and limitation in neck motion following the cessation of Halovest. A dynamic radiograph demonstrated instability on C1-2 and she underwent a posterior cervical fusion with wiring. A wound infection developed, and loosening of the wire and lysis of the posterior arch at C1-2 were seen on a follow up plain radiograph 2 months postoperatively. She was transferred to our hospital where she underwent occipitocervical fusion with a double plate after control of the infection. There were rigid fixations of the plate and bone union on a follow up radiograph 24 months postoperatively.

Keyword

Mesenchymal stem cell; disc cell; TGF-b1; adenovirus; gene therapy

MeSH Terms

Adenoviridae
Adult
Female
Follow-Up Studies
Genetic Therapy
Humans
Mesenchymal Stromal Cells
Neck
Neck Pain
Odontoid Process
Wound Infection

Figure

  • Fig. 1. (A, B) Dynamic view of C-spine shows wire loosening, posterior arch lysis and severe instability

  • Fig. 2. (A) Immediate postoperative lateral radiograph shows double plate insertion with autologus bone graft after wire remove (B) Lateral radiograph at postoperative 24th month shows bone union and rigid fixation


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