Adult Traumatic Atlantoaxial Rotatory Fixation: A Case Report

We presented a very rare case of adult Fielding type I atlantoaxial rotatory fixation (AARF). We performed awake manual reduction of the dislocation without need for anesthesia, achieving excellent outcomes, and no previous reports have described awake reduction without the need for anesthesia. AARF...

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Detalles Bibliográficos
Autores principales: Min Han, Zaw, Nagao, Nobuto, Sakakibara, Toshihiko, Akeda, Koji, Matsubara, Takao, Sudo, Akihiro, Kasai, Yuichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3971561/
https://www.ncbi.nlm.nih.gov/pubmed/24716063
http://dx.doi.org/10.1155/2014/593621
Descripción
Sumario:We presented a very rare case of adult Fielding type I atlantoaxial rotatory fixation (AARF). We performed awake manual reduction of the dislocation without need for anesthesia, achieving excellent outcomes, and no previous reports have described awake reduction without the need for anesthesia. AARF in this case was attributed to excessive extension and rotation forces applied to the cervical spine. For the management of adult Fielding type I AARF, early diagnosis and early reduction may lead to excellent outcomes.

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