Pediatric atlantoaxial dislocation: Nuances in management

Abstract

Craniovertebral junction is a complex transition zone between cranium and rostral spinal column. Many conditions affect and destabilize this junction with congenital atlantoaxial dislocation being the commonest. The unique anatomy of craniovertebral junction poses specific management difficulties especially in children. It requires a comprehensive understanding of the biomechanics and nuances of this complex entity to manage it efficiently. The problems in management are encountered at all stages starting from history, clinical examination, diagnosis to surgery. An individualistic approach to each case is suggested for proper management.

Keywords

Atlantoaxial dislocation - basilar invagination