Traction Induced Vertical Displacement of Odontoid due to Type III Odontoid Fracture with Unrecognized Ligamentous Injury: A Case Report
Autor: | Jae-Hyoo Kim, Soo-Han Kim, Jung-Kil Lee, Min-Ho Jung, Hyuk Hur, Jae-Won Jang |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Cervical vertebrae Treatment options Case Report Cervical spine injury Traction (orthopedics) Fracture fixation internal Surgery Skull medicine.anatomical_structure Traction Medicine Vertical displacement business Odontoid fracture |
Zdroj: | Korean Journal of Neurotrauma |
ISSN: | 2288-2243 2234-8999 |
Popis: | Dens fractures are a common traumatic cervical spine injury. Among them, a type III fracture is the second common fracture. Although there are several treatment options, it has been accepted that type III fracture is usually healed by non-surgical method. After adequate reduction with traction, subsequent external immobilization has been associated with successful union rates. However, in the review of literatures, there are some cases with neurological deterioration after application of skull traction. So, the authors report a case of type III dens fracture with initially unrecognized ligamentous injury in which vertical dissociation and quadriplegia occurred after only five-pound Gardner-Well tongs traction. And also, the authors raise awareness of this potentially injury. |
Databáze: | OpenAIRE |
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