Anaesthetic management for atlanto axial subluxation
Kamal, R.S.; Khan, F.A.
Jpma. Journal of the Pakistan Medical Association 41(1): 12-16
1991
ISSN/ISBN: 0030-9982 PMID: 1900544 Document Number: 385097
A number of disease processes including congenital anomalies, malunited odontoid fractures, rheumatoid arthritis and tuberculosis can result in atlanto axial subluxation. The patient population presenting for surgery is therefore varied in age and general condition, ranging from fit young men to steroid dependent frail arthritic patients. The degree of instability and the spinal cord compression are also variable. Gauging these parameters has an important bearing on the anaesthetic management. We present management of six patients with atlanto axial subluxation in our institution.