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[Traumatic atlanto-axial dislocation in children: 7 cases]
Acta Orthopaedica Belgica
|January 1, 1994
Summary
This study on pediatric atlantoaxial rotatory dislocation introduces CT scan improvements and modifies Fielding
Area of Science:
- Orthopedics
- Pediatric Radiology
- Neurosurgery
Background:
- Atlantoaxial rotatory dislocation (AARD) is a complex spinal condition in children.
- Accurate diagnosis and classification are crucial for effective treatment.
- Existing classification systems may not fully encompass all AARD presentations.
Purpose of the Study:
- To report on seven pediatric cases of atlantoaxial rotatory dislocation.
- To evaluate the utility of CT scans in diagnosing AARD.
- To propose modifications to Fielding's classification and a therapeutic protocol.
Main Methods:
- Case series of seven children with AARD.
- Diagnosis and lesion differentiation using CT scans.
- Analysis of clinical findings and treatment outcomes.
Main Results:
- CT scans effectively differentiated AARD lesions in all cases.
- Proposed modifications include a normal atlas-odontoid distance (<5 mm) and inclusion of sagittal dislocation.
- Treatment protocol based on transverse ligament integrity and dislocation type.
Conclusions:
- Modified Fielding's classification improves AARD characterization.
- A clear therapeutic algorithm guides management based on AARD subtype.
- CT imaging is essential for precise diagnosis and treatment planning in pediatric AARD.