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Atlantoaxial dislocation with congenital “sandwich fusion” in the craniovertebral junction: A retrospective case series of 70 patients
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In the setting of congenital C1 occipitalization and C2–3 fusion, significant strain is placed on the atlantoaxial joint. Vertebral fusion both above and below the atlantoaxial joint (i.e., a “sandwich”) creates substantial instability.
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