| Autor: |
Aniruddha Thekkatte Jagannatha, Umesh Srikantha, Papa Raja Murthy, Ravi Gopal Varma, Hariprakash Chakravarthy, Alangar Sathya Hegde |
| Jazyk: |
angličtina |
| Rok vydání: |
2013 |
| Předmět: |
|
| Zdroj: |
Journal of Craniovertebral Junction and Spine, Vol 4, Iss 2, Pp 90-93 (2013) |
| Druh dokumentu: |
article |
| ISSN: |
0974-8237 |
| DOI: |
10.4103/0974-8237.128542 |
| Popis: |
Study design: Retrospective review of the case file. Objective: The primary objective was to report this rare case and discuss the mechanism of dislocation and technique of manual closed reduction of C1-C2 vertebrae in such scenarios. Summary of background data: Posterior atlantoaxial dislocation (AAD) is extremely rare and a few cases have been reported in English literature. This young man sustained a high speed car accident and survived an extreme hyperextension injury to the craniovertebral junction (CVJ) without any neurological deficits. On evaluation for neck pain he was noted with a dislocated odontoid lying in front of Atlas. There was C1-C2 facet diastases. No bony injury was noted at CVJ. Transverse axial ligament (TAL) was intact. He underwent a successful awake reduction of the dislocation. The joint had to be manually distracted, realigned, and released under the guidance of fluoroscopy. This was followed by single stage C1-C2 Goel′s fusion with awake prone positioning. This patient was able to go back to work at the end of 3 months (GOS 5). Conclusions: This condition is extremely rare, can be carefully reduced manually under adequate neuromonitoring, and requires C1-C2 fusion in the same sitting. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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