C1-C2 Rotatory Subluxation in Adults "A Narrative Review"

Area of Science:

• Orthopedics
• Neurosurgery
• Radiology

Background:

• The atlantoaxial joint (C1-C2) is critical for cervical rotation.
• Atlantoaxial joint C1-C2 rotatory subluxation is rare in adults and frequently undiagnosed.
• Delayed diagnosis negatively impacts patient prognosis and treatment options.

Purpose of the Study:

• To review the diagnosis and management of C1-C2 rotatory subluxation in adults.
• To highlight the importance of early detection and intervention.
• To analyze factors influencing prognosis and treatment strategies.

Main Methods:

• Literature review focusing on adult cases of C1-C2 rotatory subluxation.
• Analysis of diagnostic challenges and treatment outcomes.
• Emphasis on radiological assessment for treatment planning.

Main Results:

• C1-C2 rotatory subluxation is often asymptomatic or presents with non-specific symptoms in adults.
• Late diagnosis is common due to low incidence and lack of clear trauma history.
• Prognosis is significantly influenced by the time from injury to reduction.

Conclusions:

• Early diagnosis and prompt treatment of C1-C2 rotatory subluxation are essential for optimal outcomes.
• Radiological evaluation is key to determining the direction and plane of dislocation.
• Identifying associated skeletal anomalies is important for comprehensive management.