La maladie de Grisel treated by combined C1-2 transarticular and C1 lateral mass screw fixation

Br J Neurosurg. 2010 Aug;24(4):499-501. doi: 10.3109/02688691003710528.


The authors describe a novel posterior approach to atlantoaxial stabilization combining C1-2 transarticular and C1 lateral mass screws with vertical connecting rods to create a strong construct with four-point fixation. They present here a case of atlanto-axial instability secondary to infection, Grisel's syndrome, necessitating instrumented stabilization after a period of close clinical and radiological observation following the initial cervical decompression and evacuation of retropharyngeal and epidural abscesses.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atlanto-Axial Joint / injuries*
  • Bone Screws*
  • Humans
  • Joint Dislocations / microbiology
  • Joint Dislocations / surgery*
  • Joint Instability / microbiology
  • Joint Instability / surgery*
  • Laminectomy / methods*
  • Male
  • Staphylococcal Infections / complications*
  • Treatment Outcome