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Unique paradoxical atlantoaxial dislocation with C1-C2 facet diastases and isolated ligamentous injury to the craniovertebral junction without neurological deficits: A case report

STUDY DESIGN: Retrospective review of the case file. OBJECTIVE: The primary objective was to report this rare case and discuss the mechanism of dislocation and technique of manual closed reduction of C1-C2 vertebrae in such scenarios. SUMMARY OF BACKGROUND DATA: Posterior atlantoaxial dislocation (A...

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Autores principales: Jagannatha, Aniruddha Thekkatte, Srikantha, Umesh, Murthy, Papa Raja, Varma, Ravi Gopal, Chakravarthy, Hariprakash, Hegde, Alangar Sathya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3980564/
https://www.ncbi.nlm.nih.gov/pubmed/24744569
http://dx.doi.org/10.4103/0974-8237.128542
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author Jagannatha, Aniruddha Thekkatte
Srikantha, Umesh
Murthy, Papa Raja
Varma, Ravi Gopal
Chakravarthy, Hariprakash
Hegde, Alangar Sathya
author_facet Jagannatha, Aniruddha Thekkatte
Srikantha, Umesh
Murthy, Papa Raja
Varma, Ravi Gopal
Chakravarthy, Hariprakash
Hegde, Alangar Sathya
author_sort Jagannatha, Aniruddha Thekkatte
collection PubMed
description STUDY DESIGN: Retrospective review of the case file. OBJECTIVE: The primary objective was to report this rare case and discuss the mechanism of dislocation and technique of manual closed reduction of C1-C2 vertebrae in such scenarios. SUMMARY OF BACKGROUND DATA: Posterior atlantoaxial dislocation (AAD) is extremely rare and a few cases have been reported in English literature. This young man sustained a high speed car accident and survived an extreme hyperextension injury to the craniovertebral junction (CVJ) without any neurological deficits. On evaluation for neck pain he was noted with a dislocated odontoid lying in front of Atlas. There was C1-C2 facet diastases. No bony injury was noted at CVJ. Transverse axial ligament (TAL) was intact. He underwent a successful awake reduction of the dislocation. The joint had to be manually distracted, realigned, and released under the guidance of fluoroscopy. This was followed by single stage C1-C2 Goel's fusion with awake prone positioning. This patient was able to go back to work at the end of 3 months (GOS 5). CONCLUSIONS: This condition is extremely rare, can be carefully reduced manually under adequate neuromonitoring, and requires C1-C2 fusion in the same sitting.
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spelling pubmed-39805642014-04-17 Unique paradoxical atlantoaxial dislocation with C1-C2 facet diastases and isolated ligamentous injury to the craniovertebral junction without neurological deficits: A case report Jagannatha, Aniruddha Thekkatte Srikantha, Umesh Murthy, Papa Raja Varma, Ravi Gopal Chakravarthy, Hariprakash Hegde, Alangar Sathya J Craniovertebr Junction Spine Case Report STUDY DESIGN: Retrospective review of the case file. OBJECTIVE: The primary objective was to report this rare case and discuss the mechanism of dislocation and technique of manual closed reduction of C1-C2 vertebrae in such scenarios. SUMMARY OF BACKGROUND DATA: Posterior atlantoaxial dislocation (AAD) is extremely rare and a few cases have been reported in English literature. This young man sustained a high speed car accident and survived an extreme hyperextension injury to the craniovertebral junction (CVJ) without any neurological deficits. On evaluation for neck pain he was noted with a dislocated odontoid lying in front of Atlas. There was C1-C2 facet diastases. No bony injury was noted at CVJ. Transverse axial ligament (TAL) was intact. He underwent a successful awake reduction of the dislocation. The joint had to be manually distracted, realigned, and released under the guidance of fluoroscopy. This was followed by single stage C1-C2 Goel's fusion with awake prone positioning. This patient was able to go back to work at the end of 3 months (GOS 5). CONCLUSIONS: This condition is extremely rare, can be carefully reduced manually under adequate neuromonitoring, and requires C1-C2 fusion in the same sitting. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3980564/ /pubmed/24744569 http://dx.doi.org/10.4103/0974-8237.128542 Text en Copyright: © Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jagannatha, Aniruddha Thekkatte
Srikantha, Umesh
Murthy, Papa Raja
Varma, Ravi Gopal
Chakravarthy, Hariprakash
Hegde, Alangar Sathya
Unique paradoxical atlantoaxial dislocation with C1-C2 facet diastases and isolated ligamentous injury to the craniovertebral junction without neurological deficits: A case report
title Unique paradoxical atlantoaxial dislocation with C1-C2 facet diastases and isolated ligamentous injury to the craniovertebral junction without neurological deficits: A case report
title_full Unique paradoxical atlantoaxial dislocation with C1-C2 facet diastases and isolated ligamentous injury to the craniovertebral junction without neurological deficits: A case report
title_fullStr Unique paradoxical atlantoaxial dislocation with C1-C2 facet diastases and isolated ligamentous injury to the craniovertebral junction without neurological deficits: A case report
title_full_unstemmed Unique paradoxical atlantoaxial dislocation with C1-C2 facet diastases and isolated ligamentous injury to the craniovertebral junction without neurological deficits: A case report
title_short Unique paradoxical atlantoaxial dislocation with C1-C2 facet diastases and isolated ligamentous injury to the craniovertebral junction without neurological deficits: A case report
title_sort unique paradoxical atlantoaxial dislocation with c1-c2 facet diastases and isolated ligamentous injury to the craniovertebral junction without neurological deficits: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3980564/
https://www.ncbi.nlm.nih.gov/pubmed/24744569
http://dx.doi.org/10.4103/0974-8237.128542
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