Destruction of the odontoid process due to atlanto-axial pyogenic spondylitis.
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The indications for an anterior approach are lesions located predominantly in the body of the vertebra or intervertebral disks. Among these are spondylolisthesis, tuberculosis of the spine, prolapsed intervertebral disks, neoplasms, spinal biopsies, correction of fixed spinal curves, fractures, and fracture dislocations of the spine. Despite many indications, this approach is rarely used, primarily because of unfamiliarity with the surgical field, instrumentation, and oral microbiota. Use of appropriate disciplines and consultations enabled this patient to receive comprehensive treatment from a community of health care specialists.
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A new method is described for reduction and successful treatment of false articulation of dens axis and neglected complicated transdens subluxation of the atlas to the back by means of skeletal traction applied to the bones of the skull with Ilizarov's apparatus in a 8-year-old boy.
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