Abstract:Intra operative reduction of dislocated C1-C2 joints involves joint manipulation and varying degrees of distraction, compression and extension components. This holds good in cases of congenital Atlanto-axial dislocation (AAD) with Basilar invagination (BI). In cases of traumatic AAD associated with fracture of C1-C2 vertebrae, the joints may be hypermobile and grossly unstable because of the injured osseous-ligamentous complex. Distraction in these cases can cause traction on the brain stem or cervical cord, a… Show more
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