Cervical Congenital Kyphosis With Atlantoaxial Dislocation

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Abstract
Congenital kyphosis and atlantoaxial dislocation in a 13-year-old boy was treated by a C1 laminectomy and C2-C5 laminoplasty with fusion form the occiput to C2. This resulted in postoperative neurologic deterioration, but a secondary anterior C3 vertebrectomy followed by a C2-C5 fusion helped restore neural function. In the presence of congenital vervical kyphosis, anterior rather than posterior decompression and fustion is recommended, particularly in the presnce of stenotic spinal canal.

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