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Post-traumatic Atlantoaxial Rotatory Dislocation in an Adult Treated by Open Reduction and C1-C2 Transpedicular Screw Fixation
Journal of Korean Neurosurgical Society ; : 248-251, 2007.
Artigo em Inglês | WPRIM | ID: wpr-88665
ABSTRACT
Atlantoaxial rotatory dislocation (AARD) is an uncommon disorder of childhood in which clinical diagnosis is generally difficult and often made late. It is very rare in adults because of the unique biomechanical features of the atlantoaxial articulation. We report a case of post-traumatic AARD in an adult. Reduction was difficult to obtain by skull traction and gentle manipulation. Therefore, the patient was treated surgically by an open reduction, transpedicular screw fixation, and posterior C1-2 wiring with graft. The normal atlantoaxial relation was restored with disappearance of torticollis. Postoperatively, the patient remains neurologically intact and has radiographic documentation of fusion. Atlantoaxial transpedicular screw fixation can be one of the treatment options for the AARD.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Crânio / Torcicolo / Tração / Transplantes / Diagnóstico / Luxações Articulares Tipo de estudo: Estudo diagnóstico Limite: Adulto / Humanos Idioma: Inglês Revista: Journal of Korean Neurosurgical Society Ano de publicação: 2007 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Crânio / Torcicolo / Tração / Transplantes / Diagnóstico / Luxações Articulares Tipo de estudo: Estudo diagnóstico Limite: Adulto / Humanos Idioma: Inglês Revista: Journal of Korean Neurosurgical Society Ano de publicação: 2007 Tipo de documento: Artigo