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Related Experiment Videos

Traumatic atlantoaxial rotatory subluxation and dislocation

K R Moore1, E H Frank

  • 1Division of Neurosurgery, Oregon Health Sciences University, Portland, USA.

Spine
|September 1, 1995
PubMed
Summary

Traumatic bilateral atlantoaxial rotatory subluxation is rare in adults. Successful closed reduction and surgical fusion led to a stable repair with no neurological deficits in this case report.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Trauma Care

Background:

  • Unilateral atlantoaxial rotatory dislocation is common, but bilateral facet dislocation is rare in adults.
  • Previous literature primarily documents this injury in pediatric populations.
  • Adult cases of bilateral atlantoaxial rotatory subluxation with facet fracture are exceptionally uncommon.

Observation:

  • A neurologically intact adult presented with bilateral traumatic atlantoaxial rotatory subluxation and facet fracture.
  • The patient underwent closed reduction with cervical traction.
  • Surgical fusion was performed for stable repair.

Findings:

  • The patient achieved a stable repair with no neurological deficits.
  • Follow-up extended for 5 months post-discharge, confirming sustained stability.

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  • Literature review highlights the rarity of this condition in adults.

    • Implications:

    • This case underscores the importance of considering rare diagnoses in adult trauma.
    • Understanding the biomechanics of the atlantoaxial joint is crucial for managing such injuries.
    • Prompt diagnosis and appropriate management, including surgical fusion, can lead to favorable outcomes.