Traumatic Atlantoaxial Unifacetal Joint Dislocation Associated with Fractures of Ipsilateral C2 Body and Contralateral Pars / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 523-527, 2011.
Article
in Korean
| WPRIM
| ID: wpr-646541
ABSTRACT
The traumatic C1-C2 unifacetal joint dislocation associated with oblique fractures of the C2 body and arch is a rare injury that can be effectively treated with gentle closed reduction under fluoroscopic guidance followed by halo vest immobilization. To our knowledge, however, there are only a few reported cases of this injury. Recognition of associated conditions including vertebral artery compromise, concomitant cervical spine fractures, and life-threatening injuries is paramount to the successful treatment of these patients. A 29-year-old patient, who presented a unifacetal dislocation at C1-C2 with associated oblique fractures of the C2 body and arch, is reported. Closed reduction with Gardner-Wells tong and halo vest application was performed. After 3 months of application of halo vest, the fractures of C2 body and arch had the complete union and the C1-2 dislocation had the good reduction. He had no pain and discomfort in his neck for about 2 years after halo vest removal.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spine
/
Vertebral Artery
/
Joint Dislocations
/
Immobilization
/
Joints
/
Neck
Type of study:
Practice guideline
Limits:
Adult
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2011
Type:
Article
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