Abstract
A follow-up study was done on occipito-cervical fusion using a recto-angular rod in eight children.
Three subjects had congenital dysplasia of the odontoid, three had sustained atlanto-axial dislocation due to Down's syndrome, and two suffered from atlanto-axial rotatory fixation. The mean age of patients at the time of surgery was 8 years 4 months, and mean follow-up period was 5 years 6 months. In all children, symptoms remarkably improved after the operation. Cervical lordosis was slightly progressive, but no problems were seen in activities of daily living.
We believe that occipito-cervical fusion using a recto-angular rod is useful even in children.
