RT Journal Article
SR Electronic
T1 Neglected Traumatic Atlantoaxial Rotatory Dislocation in Adult: A Case Report
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 46
OP 52
DO 10.14444/7006
VO 14
IS 1
A1 SINGLA, RAGHAV
A1 MANJUNATH, NIVEDITHA
A1 SHARMA, RAVI
A1 MISHRA, SHASHWAT
YR 2020
UL https://www.ijssurgery.com/content/14/1/46.abstract
AB Atlantoaxial rotatory dislocations (AARDs) 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.