Management of a Traumatic Atlanto-Occipital & Atlanto-Axial Subluxation With Fracture of Dens by a New Fixation Technique

Atlanto occipital subluxation and dislocation, both are fatal brain stem injuries. Very few survivors have been reported in literature. Various procedures are prescribed for atlanto occipital and atlanto axial fusion. We are presenting a new fixation technique for the same acquired as an alternative to Goel 8c Harms technique to deal with a case complicated by intra-operative excessive bleed from C1-C2 junction and pre mature ventricular beats causing hypotensive shock. One month post operatively, patient is stable & neurological deficit is resolving. The rationale behind this approach is discussed and the relevant literature reviewed.