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  • Title: Experience of posterior surgery in atlanto-axial instability.
    Author: Lee PC, Chun SY, Leong JC.
    Journal: Spine (Phila Pa 1976); 1984 Apr; 9(3):231-9. PubMed ID: 6729586.
    Abstract:
    Twenty patients with atlanto-axial instability treated by posterior spinal fusion were reviewed. Patients with atlanto-axial instability due to congenital causes usually presented late with chronic myelopathy and treatment in these patients was associated with poor surgical results. Atlanto-axial fusion for fracture non-unions offers immediate stability, reliability, few complications, and good range of neck movement after surgery. Occipito-cervical fusion is indicated whenever atlanto-axial fusion is surgically not feasible.
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