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Traumatic atlantoaxial rotatory subluxation in adults - A case report and literature review.

Horsfall, HL; Gharooni, A-A; Al-Mousa, A; Shtaya, A; Pereira, E (2020) Traumatic atlantoaxial rotatory subluxation in adults - A case report and literature review. Surg Neurol Int, 11. p. 376. ISSN 2229-5097 https://doi.org/10.25259/SNI_671_2020
SGUL Authors: Shtaya, Anan BY

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Abstract

Background: Traumatic atlantoaxial rotatory subluxation (AARS) is extremely rare in adult versus pediatric populations. Patients usually present with post-traumatic neck pain and torticollis. Surgical management aims at reducing the deformity and stabilizing the spine utilizing external orthotics, and/or internal reduction/fixation. Methods: A 65-year-old female fell downstairs at home. She complained of neck pain with right-sided tenderness and torticollis. The radiographic studies and CT scan demonstrated AARS. This led to an emergent open reduction with internal fixation at the C1-C2 level. Results: We identified 25 similar cases of AARS in the English literature. Patients averaged 28.7 years of age and mostly sustained motor vehicle accidents largely treated with traction/orthotics; only six patients required surgical open reduction/internal fixation. Conclusion: In this case, the patient's C1-C2 deformity required open reduction/internal fixation rather than bracing alone.

Item Type: Article
Additional Information: Copyright: © 2020 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
Keywords: Atlantoaxial, Atlantoaxial dislocations, Atlantoaxial rotatory subluxation, Cervical spine, Rotatory, Subluxation, Trauma, 1103 Clinical Sciences, 1109 Neurosciences
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: Surg Neurol Int
ISSN: 2229-5097
Language: eng
Dates:
DateEvent
6 November 2020Published
7 October 2020Accepted
Publisher License: Creative Commons: Attribution-Noncommercial-Share Alike 4.0
PubMed ID: 33408910
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/112769
Publisher's version: https://doi.org/10.25259/SNI_671_2020

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