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A Case of Grisel Syndrome Showing No Underlying Laxity of the Atlanto-axial Joint

Ahn AR, Park YH, Park EJ, Yim SY

Grisel syndrome is a rare, non-traumatic atlanto-axial subluxation associated with an inflammatory or infectious process in the upper neck. According to the two-hit hypothesis, which is widely accepted for the...
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Atlanto-Axial Joint Block: Case reports

Shin KM, Yun SH

  • KMID: 1946748
  • J Korean Pain Soc.
  • 1999 Nov;12(2):231-234.
Until several years ago we didn't think seriously about cervical problems as a cause of headaches, but since the publication of articles by Bogduk et al they have gotten more attention. Cervical...
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Quadriplegia and Dyspnea Caused by Os Odontoideum in a Down Syndrome Patient: A case report

Suh J, Park JH, Jung KH, Joa KH

  • KMID: 2323515
  • J Korean Acad Rehabil Med.
  • 2000 Aug;24(4):803-808.
Os odontoideum is a rare anomaly of the second cervical vertebrae, which is a separated ossicle from the body of the axis. This abnormality of the odontoid process can result...
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Combined Chronic Occipito-atlantal and Atlanto-axial Rotator Fixation with Cerebral Palsy

Kim JH, Kim JH, Jang SY, Kong MH

Occipito-atlantalrotatory subluxation that occurs in conjunction with atlanto-axial rotator fixation is extremely rare. The common clinical characteristics are painful torticollis and cock robin position presented with the head tilted to...
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Normal range of atlanto-denal interval

Kim YL, Lee SC, Lee KH, Sung JH, Joo KB, Lee SR, Hahm CK

The roentgenologic diagnosis of lateral subluxation of the atlanto-axial joint is very difficult because theonly presentation is increase of the atlanto-dental interval. This study was carried out with 70 volunteers...
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A Case of Atlanto-Axial Joint Subluxation Following Tonsillectomy in Patient of Tonsillar Cancer with Preoperative Radiotherapy: Grisel's Syndrome

Choi YS, Bae CH, Kim YD, Song SY

Grisel's syndrome, defined as the atlanto-axial joint subluxation not associated with a trauma or bone disease, is a rare complication following operative procedure and/or infections of the upper aerodigestive tract....
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A temporary disc-like structure at the median atlanto-axial joint in human fetuses

Sakanaka K, Yamamoto M, Hirouchi H, Kim JH, Murakami G, Rodríguez Vázquez JF, Abe SI

During observations of mid-term and late-stage fetuses, we found a joint disk-like structure at the anterior component of the median atlanto-axial joint. At mid-term, the disk-like structure was thick (0.1–0.15...
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O-arm(R) Imaging System Coupled with Navigation Guided Posterior Atlantoaxial Screw Fixation in the Patient with Ponticulus Posticus, an Anatomical Variation of Atlas

Kim SM, Ryu KS, Lee HJ, Park CK

  • KMID: 1461020
  • Korean J Spine.
  • 2010 Dec;7(4):265-267.
Ponticulus posticus is an abnormal bony bridge of posterior arch of atlas. The resulting foramen contains the vertebral artery and has clinical significance in lateral mass screw insertion into the...
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C2 Spinal Ganglion Block for Treatment of Cervicogenic Headache

Chung CK, Lee KH, Kim C, Choi R

  • KMID: 1946565
  • J Korean Pain Soc.
  • 1993 May;6(1):96-99.
The pathological basis for cervicogenic headache may lie within the cervical spine. Clinically patients with cervicogenic headache complain of unilateral pain radiating in an atypical fashion from the occipital region....
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Atlantoaxial Ankylosis Detected on Neck CT Scans in a Patient with Ankylosing Spondylitis: A Case Report

Lee JA, Lee S, Joo KB, Ryu JA, Kim TH

Ankylosing spondylitis is a chronic inflammatory disorder of unknown cause that principally affects the axial skeleton. The cervical spine is also vulnerable to this disease process and the characteristic feature...
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Posterior Atlantoaxial Screw-Rod Fixation in a Case of Aberrant Vertebral Artery Course Combined with Bilateral High-Riding Vertebral Artery

Park YS, Kang DH, Park KB, Hwang SH

  • KMID: 2339914
  • J Korean Neurosurg Soc.
  • 2010 Oct;48(4):367-370.
We present a case of posterior atlantoaxial screw-rod fixation in a patient with an aberrant vertebral artery (VA) course combined with bilateral high-riding VA. An aberrant VA which courses below...
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Atlantal Fracture and Dislocation with Transverse Ligament Rupture Associated with Quadriplegia

Lee SB, Lee SS, Sohn HC, Moon MS

  • KMID: 2187237
  • J Korean Neurosurg Soc.
  • 1980 Mar;9(1):305-310.
Since Jafferson has reported the atlantal fracture in 1920, and its mechanism and type of fracture in detail, a few authers have reported the cases in their literature because the...
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Hemorrhagic Synovial Cyst Associated with Rheumatoid Atlantoaxial Subluxation

Sheen JJ, Seo DK, Rhim SC, Choi SH

Synovial cyst on prevertebral space of C1-2 joint is rare but may be associated hemorrhagic event. We describe a case of a 72-year-old woman who presented with sudden severe headache...
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Hemodynamic Alteration of the Cervical Venous Circulation in a Patient Suffering From Atlantoaxial Degenerative Osteoarthritis with Subluxation: A Case Report

Lee H, Lee SH, Choi WG, Tsang YS, Lee SJ, Hwang BW

A 52-year-old female patient was admitted to our hospital with severe occipitocervical pain. The radiographic examination revealed degenerative osteoarthritis and subluxation of the right atlantoaxial joint. Her pain was completely...
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Role of the O-arm and Computer-assisted Navigation of Safe Screw Fixation in Children with Traumatic Rotatory Atlantoaxial Subluxation

Attia W, Orief T, Almusrea K, Alfawareh , Soualmi L, Orz Y

  • KMID: 2408132
  • Asian Spine J.
  • 2012 Dec;6(4):266-273.
STUDY DESIGN: A retrospective analysis of 7 patients with traumatic rotatory atlanto-axial subluxation. OVERVIEW OF LITERATURE: Cases of traumatic rotatory atlantoaxial subluxation in children are difficult to be stabilized. Surgical challenges...
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Irreducible Atlanto-Axial Dislocation in Neglected Odontoid Fracture Treated with Single Stage Anterior Release and Posterior Instrumented Fusion

Aggarwal R, Rathod AK, Chaudhary

It is a well-know fact that type 2 odontoid fractures frequently go into nonunion. If left untreated, patients may develop irreducible atlantoaxial dislocation (AAD). We describe the surgical management of...
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Surgical Decompression of Synovial Cyst of Atlantoaxial Joint through Unilateral Posterior Approach: Case Report

Nam TK, Kim YB, Park SW, Hwang SN

  • KMID: 2339703
  • J Korean Neurosurg Soc.
  • 2003 Jun;33(6):606-609.
The authors report a patient with synovial cyst of the atlantoaxial joint with cord compression located posteriorly to the dens. Subtotal resection of the cyst was performed through unilateral posterior...
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Atlantoaxial Joint Syndrome Misconceived as an Idiopathic Neuralgia: A case report

Hong SJ, Lee JB, Jung SW, Kim IS, Lim SY, Shin KM

Although the atlantoaxial joint is the most common site of rheumatoid arthritis, our patient had no symptoms or signs suggestive of rheumatoid arthritis. The atlantoaxial joint is frequently involved in...
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Late Myelopathy Associated with Odontoid Fracture: Report of Two Cases

Kim YB, Hwang SN, Choi DY

  • KMID: 2187815
  • J Korean Neurosurg Soc.
  • 1992 Aug;21(8):1031-1037.
We reported two cases of delayed myelopathy associated with odontoid fracture due to a nonunion and the resultant instability of the atlantoaxial joint. Both of two cases showed marked compression...
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Minimally Invasive Microscope-Assisted Stand-Alone Transarticular Screw Fixation without Gallie Supplementation in the Management of Mobile Atlantoaxial Instability

Dusad T, Kundnani V, Dutta S, Patel A, Mehta G, Singh M

STUDY DESIGN: Retrospective study. PURPOSE: To evaluate the clinico-radiological efficacy of stand-alone minimally invasive transarticular screw (MIS-TAS) fixation without supplemental Gallie fixation in the management of mobile C1–C2 instability. OVERVIEW OF LITERATURE:...
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