Atlantoaxial Instability in Neurofibromatosis Type 1: A Case Report
Introduction: Neurofibromatosis (NF) is a cluster of conditions in which tumors grow in the nervous system. Even though the spine is the most common site of skeletal involvement in NF type 1 (NF-1), cervical spinal anomalies are infrequent. Case Report: The atlantoaxial joint is a critical transitio...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-02-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/02/01/atlantoaxial-instability-in-neurofibromatosis-type-1-a-case-report/ |
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| author | Sankalp Lal Pankaj Kumar Damor Mahendra Singh Tak Mukesh Kumar Saini Mahesh Bhati |
| author_facet | Sankalp Lal Pankaj Kumar Damor Mahendra Singh Tak Mukesh Kumar Saini Mahesh Bhati |
| author_sort | Sankalp Lal |
| collection | DOAJ |
| description | Introduction:
Neurofibromatosis (NF) is a cluster of conditions in which tumors grow in the nervous system. Even though the spine is the most common site of skeletal involvement in NF type 1 (NF-1), cervical spinal anomalies are infrequent.
Case Report:
The atlantoaxial joint is a critical transitional zone in the cervical spine and is prone to instability. We report the case of a 49-year-old gentleman with atlantoaxial instability due to NF-1 who presented with quadriparesis and was managed by reduction with skull traction followed by C1-C2 Goel-Harms fixation.
Conclusion:
In the present case, there was substantial bleeding and significant vertebral dysplasia, which makes the case distinctly unique. Skull traction and C1-C2 Goel-Harms fixation with fusion should be considered for patients with NF-1 complicated by atlantoaxial instability. |
| format | Article |
| id | doaj-art-6afd8fe47cdd49638f4657c1d6a89e37 |
| institution | OA Journals |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-6afd8fe47cdd49638f4657c1d6a89e372025-08-20T02:10:12ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-02-0115216717110.13107/jocr.2025.v15.i02.5270Atlantoaxial Instability in Neurofibromatosis Type 1: A Case ReportSankalp LalPankaj Kumar DamorMahendra Singh TakMukesh Kumar SainiMahesh BhatiIntroduction: Neurofibromatosis (NF) is a cluster of conditions in which tumors grow in the nervous system. Even though the spine is the most common site of skeletal involvement in NF type 1 (NF-1), cervical spinal anomalies are infrequent. Case Report: The atlantoaxial joint is a critical transitional zone in the cervical spine and is prone to instability. We report the case of a 49-year-old gentleman with atlantoaxial instability due to NF-1 who presented with quadriparesis and was managed by reduction with skull traction followed by C1-C2 Goel-Harms fixation. Conclusion: In the present case, there was substantial bleeding and significant vertebral dysplasia, which makes the case distinctly unique. Skull traction and C1-C2 Goel-Harms fixation with fusion should be considered for patients with NF-1 complicated by atlantoaxial instability.https://jocr.co.in/wp/2025/02/01/atlantoaxial-instability-in-neurofibromatosis-type-1-a-case-report/atlantoaxial instabilityneurofibromatosisgoel-harms technique |
| spellingShingle | Sankalp Lal Pankaj Kumar Damor Mahendra Singh Tak Mukesh Kumar Saini Mahesh Bhati Atlantoaxial Instability in Neurofibromatosis Type 1: A Case Report Journal of Orthopaedic Case Reports atlantoaxial instability neurofibromatosis goel-harms technique |
| title | Atlantoaxial Instability in Neurofibromatosis Type 1: A Case Report |
| title_full | Atlantoaxial Instability in Neurofibromatosis Type 1: A Case Report |
| title_fullStr | Atlantoaxial Instability in Neurofibromatosis Type 1: A Case Report |
| title_full_unstemmed | Atlantoaxial Instability in Neurofibromatosis Type 1: A Case Report |
| title_short | Atlantoaxial Instability in Neurofibromatosis Type 1: A Case Report |
| title_sort | atlantoaxial instability in neurofibromatosis type 1 a case report |
| topic | atlantoaxial instability neurofibromatosis goel-harms technique |
| url | https://jocr.co.in/wp/2025/02/01/atlantoaxial-instability-in-neurofibromatosis-type-1-a-case-report/ |
| work_keys_str_mv | AT sankalplal atlantoaxialinstabilityinneurofibromatosistype1acasereport AT pankajkumardamor atlantoaxialinstabilityinneurofibromatosistype1acasereport AT mahendrasinghtak atlantoaxialinstabilityinneurofibromatosistype1acasereport AT mukeshkumarsaini atlantoaxialinstabilityinneurofibromatosistype1acasereport AT maheshbhati atlantoaxialinstabilityinneurofibromatosistype1acasereport |