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Traumatic Atlantoaxial Dislocation with Type II Odontoid Fractures: A Case Report
Aldhi Tri Budhi1, Nasrullah2, Andi Asadul Islam2
1Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Ethiopian Journal of Health Sciences
|April 22, 2021
Summary
A type II odontoid fracture, a common cervical trauma, can cause hemiparesis. Prompt diagnosis and surgical stabilization of atlantoaxial dislocation effectively treat this injury and prevent neurological deficits.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Trauma Care
Background:
- Odontoid fractures, particularly type II, are common sequelae of cervical trauma.
- These fractures often occur at the C2 vertebra's dens-body junction.
Observation:
- A 24-year-old male presented with right-sided hemiparesis due to traumatic atlantoaxial dislocation.
- Cervical CT revealed spondylolisthesis of the C1-C2 complex with a type II odontoid fracture.
Findings:
- The patient underwent posterior reduction and internal stabilization for the atlantoaxial injury.
- Post-treatment, the patient's hemiparesis resolved, and they remained disease-free during follow-up.
Implications:
- Timely diagnosis and management of atlantoaxial trauma are crucial.
- Appropriate intervention can prevent severe neurological deficits in patients with odontoid fractures.
