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Traumatic atlantoaxial dislocation with odontoid fracture: A case report
P E Moreau1, V Nguyen, A Atallah
1Department of Orthopaedic Surgery and Traumatology, Meaux City Hospital Center, 6 bis, rue Saint-Fiacre, 77100 Meaux, France. moreau.pe@gmail.com
Orthopaedics & Traumatology, Surgery & Research : OTSR
|August 21, 2012
Summary
This case study details managing traumatic atlantoaxial dislocation with an odontoid fracture. Surgical occipitocervical fixation via posterior approach proved effective after failed closed reduction, ensuring spinal stability.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Traumatology
Background:
- Traumatic atlantoaxial dislocation with odontoid fracture is a rare and severe injury.
- This combination results in significant spinal instability.
- Management requires careful consideration of reduction and fixation techniques.
Observation:
- A patient with traumatic atlantoaxial dislocation and odontoid fracture underwent initial closed reduction with traction.
- The closed reduction attempt was unsuccessful, necessitating surgical intervention.
- One-year follow-up data is presented for the managed case.
Findings:
- Open reduction with occipitocervical fixation using a posterior approach was performed.
- This surgical method successfully addressed the instability caused by the injury.
- The patient's outcome at one-year follow-up is detailed.
Implications:
- Surgical management, specifically open reduction and C1-C2 fixation, is crucial when closed reduction fails.
- This approach ensures spinal stability in complex atlantoaxial injuries.
- Findings contribute to understanding optimal treatment strategies for this rare injury combination.
