PT  - JOURNAL ARTICLE
AU  - RAGHAV, SINGLA
AU  - NIVEDITHA, MANJUNATH
AU  - RAVI, SHARMA
AU  - SHASHWAT, MISHRA
TI  - Neglected Traumatic Atlantoaxial Rotatory Dislocation in Adult
AID  - 10.14444/6071
DP  - 2019 Dec 01
TA  - International Journal of Spine Surgery
PG  - 531--535
VI  - 13
IP  - 6
4099  - https://www.ijssurgery.com/content/13/6/531.short
4100  - https://www.ijssurgery.com/content/13/6/531.full
SO  - Int J Spine Surg2019 Dec 01; 13
AB  - Atlantoaxial rotatory dislocations (AARD) are common in the pediatric population and rarely seen in adults. We describe a case of neglected AARD and subsequent management.A 25-year-old man developed a Fielding type 1 AARD following a road traffic accident. He was managed conservatively for 1.5 months before being referred to us. The patient underwent surgery 1.5 months after the accident.Closed reduction failed, and C1-2 fixation with the Harms technique was performed after intraoperative reduction, resulting in correction of deformity.Delay of treatment makes intraoperative reduction more difficult and increases the possibility of the chronic permanent change of neck muscles and ligaments. Hence, a high index of suspicion with a thorough clinical examination and judicious use of radiological investigations is paramount to the appropriate management of such cases.