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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2013
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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. |
format | Online Article Text |
id | pubmed-3980564 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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