Neglected Traumatic Atlantoaxial Rotatory Dislocation in Adult: A Case Report.
Fielding type 1 AARD
atlantoaxial dislocations
atlantoaxial rotatory dislocations
atlantoaxial rotatory fixation
Journal
International journal of spine surgery
ISSN: 2211-4599
Titre abrégé: Int J Spine Surg
Pays: Netherlands
ID NLM: 101579005
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
entrez:
5
3
2020
pubmed:
5
3
2020
medline:
5
3
2020
Statut:
epublish
Résumé
Atlantoaxial rotatory dislocations (AARDs) are common in the pediatric population and rarely seen in adults. We describe a case of neglected AARD and subsequent management. A 25-year-old man developed a Fielding type 1 AARD following a road traffic accident. He was managed conservatively for 1.5 months before being referred to us. The patient underwent surgery 1.5 months after the accident. Closed reduction failed and C1-2 fixation with the Harms technique was performed after intraoperative reduction resulting in correction of deformity. Delay of treatment makes intraoperative reduction more difficult and increases the possibility of the chronic permanent change of neck muscles and ligaments. Hence, a high index of suspicion with a thorough clinical examination and judicious use of radiological investigations is paramount to the appropriate management of such cases.
Identifiants
pubmed: 32128302
doi: 10.14444/7006
pmc: PMC7043832
doi:
Types de publication
Journal Article
Langues
eng
Pagination
46-52Informations de copyright
©International Society for the Advancement of Spine Surgery 2020.
Déclaration de conflit d'intérêts
Disclosures and COI: The authors received no funding for this study and report no conflicts of interest.
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