تقرير
أعرض في EDS

Surgical Treatment of Irreducible AcuteTraumatic Atlantoaxial Rotatory Subluxation in an Adult.

التفاصيل البيبلوغرافية
العنوان: Surgical Treatment of Irreducible AcuteTraumatic Atlantoaxial Rotatory Subluxation in an Adult.
المؤلفون: Alhasani MH Sr; Orthopedic Surgery, King Saud Medical City, Riyadh, SAU., Obeidat MM; Orthopedic Surgery, King Saud Medical City, Riyadh, SAU., ALMohammed AA; Orthopedic Surgery, King Saud Medical City, Riyadh, SAU., Alotaibi AM Sr; Orthopedic Surgery, King Saud Medical City, Riyadh, SAU., Surur S; Orthopedic Surgery, King Saud Medical City, Riyadh, SAU.
المصدر: Cureus [Cureus] 2022 Nov 19; Vol. 14 (11), pp. e31678. Date of Electronic Publication: 2022 Nov 19 (Print Publication: 2022).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Traumatic atlantoaxial rotatory subluxation (AARS) is a condition that is extremely rare in adults when compared to the pediatric population. The most common symptoms of this condition are torticollis and post-traumatic neck pain. Our patient is a 41-year-old male who presented to the emergency room within hours of the injury. He came by himself with his relative as a case of road traffic accident. He was the first passenger and had been restrained during the car accident, with no ejection or rollover. He presented with stiffness/pain and reduced range of motion in the neck. Computed tomography (CT) of the cervical spine showed rotatory subluxation of C1 over the C2 with a locked facet. Within 24 hours of the RTA and patient admission, we attempted cervical traction. The reduction was not successful. So, we decided to reduce AARS through a surgical approach. The patient was taken to the operating room for open reduction and fixation using the Harms technique for C1-C2 fusion. The patient recovered from the surgery uneventfully, without any complications, recovered cervical mobility, and improved torticollis. Surgical management through open reduction and internal fixation is recommended for AARD cases in which close reduction fails due to a locked facet.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Alhasani et al.)
References: Case Rep Orthop. 2016;2016:7308653. (PMID: 27190664)
Diagnostics (Basel). 2022 Jul 02;12(7):. (PMID: 35885520)
Eur Spine J. 2005 Feb;14(1):61-8. (PMID: 15258837)
J Korean Neurosurg Soc. 2009 Apr;45(4):246-8. (PMID: 19444353)
Spine (Phila Pa 1976). 1995 Dec 1;20(23):2493-8. (PMID: 8610243)
J Neurosurg Spine. 2005 Apr;2(4):505-9. (PMID: 15871495)
Eur Spine J. 2019 Feb;28(2):284-289. (PMID: 28078473)
Injury. 2012 Jul;43(7):1212-5. (PMID: 22306935)
Case Rep Orthop. 2014;2014:593621. (PMID: 24716063)
J Bone Joint Surg Am. 1977 Jan;59(1):37-44. (PMID: 833172)
Spine (Phila Pa 1976). 2012 Mar 1;37(5):E278-85. (PMID: 22281477)
Spine J. 2015 Apr 1;15(4):e15-8. (PMID: 25576900)
Spinal Cord Ser Cases. 2021 Dec 3;7(1):103. (PMID: 34862363)
Emerg Med J. 2005 Sep;22(9):671-2. (PMID: 16113200)
J Craniovertebr Junction Spine. 2014 Oct;5(4):163-6. (PMID: 25558147)
Global Spine J. 2014 Aug;4(3):179-86. (PMID: 25083360)
J Clin Neurosci. 2009 May;16(5):721-2. (PMID: 19264489)
Clin Orthop Relat Res. 2002 Jan;(394):19-26. (PMID: 11795732)
J Neurosurg. 2005 Dec;103(6 Suppl):563-6. (PMID: 16383257)
فهرسة مساهمة: Keywords: atlantoaxial; atlantoaxial dislocations; atlantoaxial rotatory subluxation; cervical spine; rotatory; subluxation; trauma
تواريخ الأحداث: Date Created: 20221222 Latest Revision: 20221223
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC9762917
DOI: 10.7759/cureus.31678
PMID: 36545162
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.31678