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[Traumatic atlantoaxial rotatory fixation in a child]
P Kl'oc1, L Tomcovcík, S Vyskocová
1Klinika úrazovej chirurgie, FNsP J. A. Reimana, Presov, Slovenská republika. klocpeter@hotmail.com
Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|February 14, 2012
Summary
Traumatic atlantoaxial rotary fixation, a rare injury, can be diagnosed using clinical signs and static imaging. Conservative treatment yields excellent results for acute cases, while neglected injuries may require surgery.
Area of Science:
- Orthopedics
- Pediatric Traumatology
- Radiology
Background:
- Traumatic atlantoaxial rotary fixation is a rare, low-energy injury causing fixed subluxation of the atlantoaxial complex.
- Delayed diagnosis or improper treatment can lead to permanent consequences.
Observation:
- A case report details a 10-year-old patient with acute traumatic atlantoaxial rotary fixation.
- Diagnosis was established through patient history, clinical presentation, and static computed tomography (CT) scans.
Findings:
- The patient's acute traumatic atlantoaxial rotary fixation was successfully managed with conservative treatment.
- Static imaging and clinical evaluation, combined with accident history, can aid diagnosis even without dynamic imaging.
Implications:
- Early diagnosis and conservative treatment of acute traumatic atlantoaxial rotary fixation yield excellent outcomes in pediatric patients.
- Delayed or neglected cases often necessitate complex surgical interventions with potentially permanent deformities.
