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Atlantooccipital transarticular screw fixation for the treatment of traumatic occipitoatlantal dislocation

Technical note

Iman Feiz-Erfan, L. Fernando Gonzalez, and Curtis A. Dickman

✓ The authors describe a new technique of internal atlantooccipital screw fixation involving posterior wiring and fusion for the treatment of traumatic atlantooccipital dislocation, which was performed in a 17-year-old male patient involved in a motor vehicle accident and who suffered from atlantooccipital dislocation without neurological injury. At the 6-month follow-up examination, the patient was neurologically intact with a solid occipitocervical fusion and full range of motion of the neck.