C1–2 facet disarticulation for correction of iatrogenic cervical kyphosis following occipital-cervical fusion

Miki Katzir, Aboubakr T. Amer, Asad S. Akhter, Stephanus V. Viljoen, Ehud Mendel

Research output: Contribution to journalArticlepeer-review

Abstract

The patient is a 69-year-old woman with a history of atlantoaxial instability and cervical pain who underwent an occipitalcervical fusion at an outside hospital. Five days following the procedure she required a PEG tube due to progressive dysphagia. Compared with preoperative imaging, x-ray shows cervical spine hyperextension with a significant decrease in the occipital–C2 angle. A swallow test confirmed aspiration and pharyngeal phase functional impairment. Two-stage surgery consisted of hardware removal, drilling the fused right C1–2 facet, reinstrumentation, and halo placement. The swallowing test confirmed there is no aspiration. We proceeded with rod placement. The patient recovered completely.

Original languageEnglish (US)
JournalNeurosurgical Focus: Video
Volume3
Issue number1
DOIs
StatePublished - Jul 2020
Externally publishedYes

Keywords

  • degenerative cervical spine
  • occipital-cervical fusion
  • occiput–C2 angle

ASJC Scopus subject areas

  • Surgery
  • Neurology

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