Surgical Strategy and Decision-Making in Recurrent Atlanto-Axial Dislocations: The Role of Traction
The best candidates who can benefit after redo surgery are the ones who exhibit either clinical and/or radiological improvement on the trial of traction, as the pathological C1-C2 joints are either not fused or have undergone pseudoarthrosis. Those patients who do not exhibit significant clinical or radiological improvement post-trial of traction should not be offered subsequent surgical intervention.
Authors
- Kavin Devani (ORCID: https://orcid.org/0009-0000-8634-192X)
- Prashant Purohit (ORCID: https://orcid.org/0000-0003-3087-6233)
- Nupur Pruthi (ORCID: https://orcid.org/0000-0001-5681-7659)
- Souvik Singha (ORCID: https://orcid.org/0000-0002-1392-8233)
Institutions
- Lenox Hill Hospital (US)
- Ahmedabad Civil Hospital (IN)
- Donald & Barbara Zucker School of Medicine at Hofstra/Northwell (US)
- National Institute of Mental Health and Neurosciences (IN)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2024-11-20
- DOI
- https://doi.org/10.1016/j.wneu.2024.10.099
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00