Journal of Craniovertebral Junction and Spine

CASE REPORT
Year
: 2016  |  Volume : 7  |  Issue : 2  |  Page : 109--110

Atlantoaxial dislocation adjacent to kyphotic deformity in a case of adult Larsen syndrome


Sushanta K Sahoo, Arsikere N Deepak, Pravin Salunke 
 Department of Neurosurgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Punjab and Haryana, India

Correspondence Address:
Pravin Salunke
Department of Neurosurgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Punjab and Haryana
India

Kyphotic deformity is often seen in Larsen syndrome. However, its progress in adults is not clear. The adjacent level compression in these patients adds to the difficulty regarding the level that needs to be operated. A 56-year-old male presented with neck pain and spastic quadriplegia. Radiology showed kyphotic deformity (sequelae of Larsen syndrome) with atlantoaxial dislocation. Cord compression was apparent at both levels but careful evaluation showed C1-2 level compression and some compression below the kyphotic deformity. The kyphotic spine was already fused and the canal diameter was adequate. The adjacent level C1-2 was fused and he improved dramatically. Correction of long-standing kyphotic deformity may not be necessary, as it unlikely to progress because of its tendency to fuse naturally. Rather, the adjacent levels are likely to compress the cord due to excessive stress. A proper clinical history and a thorough radiological examination help the surgeon to make an appropriate decision.


How to cite this article:
Sahoo SK, Deepak AN, Salunke P. Atlantoaxial dislocation adjacent to kyphotic deformity in a case of adult Larsen syndrome.J Craniovert Jun Spine 2016;7:109-110


How to cite this URL:
Sahoo SK, Deepak AN, Salunke P. Atlantoaxial dislocation adjacent to kyphotic deformity in a case of adult Larsen syndrome. J Craniovert Jun Spine [serial online] 2016 [cited 2021 May 6 ];7:109-110
Available from: https://www.jcvjs.com/article.asp?issn=0974-8237;year=2016;volume=7;issue=2;spage=109;epage=110;aulast=Sahoo;type=0