Patient diagnosed with cervical transverse ligament rupture with subluxation at c1-2 from traction injury. Odontoid peg intact, no dens fracture or cord impingement apparent. Skull held at oblique angle for over two decades until pronounced ridge of muscle observed to one side of spine, lumbar and knee pain with functionally short right leg observed from pelvic shift.
Skull spontaneously fused to c1.
Surgical fusion posited on initial diagnosis but never pursued.
Would stabilisation help at this late stage? Patient is in fifth decade of life.
Skull spontaneously fused to c1.
Surgical fusion posited on initial diagnosis but never pursued.
Would stabilisation help at this late stage? Patient is in fifth decade of life.
