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Published on: September 16, 2022
[Posttraumatic atlantoaxial rotatory fixation in a child]
P Kl'oc1, L Tomcovík, S Vyskocová
1Klinika úrazovej chirurgie, FNsP J. A. Reimana, PreSov, Slovenski republika. klocpeter@hotmail.com
Summary
Traumatic atlantoaxial rotatory fixation, a rare neck injury, can be diagnosed using clinical signs and imaging. Conservative treatment is effective for acute cases in children, preventing long-term issues.
Area of Science:
- Orthopedics
- Pediatric Traumatology
- Radiology
Background:
- Traumatic atlantoaxial rotatory fixation involves fixed subluxation of the C1-C2 complex due to low-energy injury.
- This rare condition often presents with characteristic head tilt, flexion, and contralateral rotation, leading to painful motion limitation.
Observation:
- A case report details a 10-year-old patient with acute traumatic atlantoaxial rotatory fixation.
- Diagnosis was established through patient history, clinical presentation, and static CT scans.
Findings:
- The patient experienced successful conservative treatment for acute traumatic atlantoaxial rotatory fixation.
- Static imaging combined with accident history aids diagnosis, even without dynamic studies.
Implications:
- Early diagnosis and conservative management of traumatic atlantoaxial rotatory fixation yield excellent outcomes in pediatric patients.
- Delayed or neglected cases may necessitate surgery and can result in permanent deformities.
