An atlantoaxial dislocation occurs when the atlas, the first cervical vertebra, slips over the second cervical vertebra, disrupting the most mobile joint in the body. This joint is crucial for head rotation and is stabilized by strong ligaments and a unique bony structure. Instability can arise from various causes including odontoid fractures, tubercular infections, spondylosis, inflammatory diseases like ankylosing spondylitis and rheumatoid arthritis, ligamentous laxity, and conditions like Down syndrome.
Patients with this condition may experience reduced neck mobility and pain, symptoms of myelopathy such as numbness in the hands, unsteadiness in walking, involuntary hand and leg movements, and difficulties with fine motor skills like writing. Severe cases can lead to urinary disturbances and even breathing difficulties due to spinal cord compression.
Surgical Interventions :
Surgery is often the only solution for atlantoaxial dislocation to realign the joint and relieve pressure on the spinal cord. Techniques used include C1-C2 Magerl trans articular screw fixation, wiring, and Goel plating with fusion to stabilize the joint and ensure the spinal canal is decompressed.
Personalized Care at Aster Whitefield:
At Aster Whitefield Hospital, our approach to treating atlantoaxial dislocation involves comprehensive preoperative evaluation using dynamic MRI, CT, and X-ray imaging. Our experienced team of spine surgeons utilizes advanced technologies such as intraoperative neuromonitoring (IONM), Doppler machines, navigation systems, and intraoperative CT to enhance surgical precision and safety. This careful planning and execution help us achieve excellent outcomes, minimizing risks associated with the proximity of the vertebral arteries that supply blood to the brain and spinal cord. Our dedicated care ensures that each patient receives personalized treatment, guiding them toward a successful recovery and improved quality of life.
