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- Title
A case of anterior arch fracture of the atlas associated with C1 laminectomy.
- Authors
Toshinari Kawasaki; Motohiro Takayama; Yoshinori Maki; Kota Nakajima; Tamaki Kobayashi; Masaaki Saiki; Yoshihiko Ioroi
- Abstract
Background: Spontaneous anterior arch fracture of the atlas after a C1 laminectomy (CIL) is an extremely rare complication. Case Description: A 72-year-old male presented with the sudden onset of neck pain. His prior history included; a CIL for atlantoaxial subluxation, shunt closure for a spinal dural arteriovenous fistula at C3, a cervical laminoplasty from C3 to C6 for stenosis, and a prior anterior C4/5 and C5/6 fusion 14 years ago. Once the computed tomography documented a right C1 anterior arch fracture, and occipital-cervical fusion was performed utilizing C2 laminar screws and C4 pedicle screws with halo-vest placement. Postoperatively, the neck pain resolved and he remained stable. Conclusion: Neurosurgeons should be aware of the risk of anterior arch fractures following a CIL and may alternatively consider a C1 laminoplasty in the future.
- Publication
Surgical Neurology International, 2023, Vol 14, p1
- ISSN
2229-5097
- Publication type
Article
- DOI
10.25259/SNI_254_2023