O'Neill P
Department of Neurosurgery, Mater Private Hospital, Dublin, Ireland.
Childs Nerv Syst. 1994 Aug;10(6):396-8. doi: 10.1007/BF00335130.
An 8-year-old child with a previous history of neonatal retropharyngeal abscess presented with a 6-month history of progressive quadriparesis. Investigations demonstrated atlanto-axial subluxation with anterior displacement of the odontoid peg to a position anterior to the vertebral body of C2. Magnetic resonance imaging confirmed severe neural compression at this level. The child was placed in a halo fixation device and underwent transoral removal of the odontoid peg together with the upper part of the body of C2. At a subsequent procedure a posterior occipito-cervical fusion was performed. The aetiology and management of this case are discussed.
一名8岁儿童既往有新生儿咽后脓肿病史，此次因进行性四肢瘫6个月就诊。检查发现寰枢椎半脱位，齿突向前移位至C2椎体前方。磁共振成像证实该水平存在严重神经受压。患儿被置于头环固定装置中，并接受经口齿突及C2椎体上半部分切除术。随后进行了枕颈后路融合术。本文讨论了该病例的病因及治疗。
