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Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence
Atlanto-axial rotatory-subluxation (AARS) is the most common pediatric cervical spine injury. Patients usually present with contralateral rotation and inclination of the upper cervical spine after minor trauma, or associated with an infection of the upper respiratory tract. According to the authors,...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999364/ https://www.ncbi.nlm.nih.gov/pubmed/28678026 http://dx.doi.org/10.1097/BSD.0000000000000563 |
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author | Jeszenszky, Dezsoe Fekete, Tamas Kleinstück, Frank Haschtmann, Daniel Loibl, Markus |
author_facet | Jeszenszky, Dezsoe Fekete, Tamas Kleinstück, Frank Haschtmann, Daniel Loibl, Markus |
author_sort | Jeszenszky, Dezsoe |
collection | PubMed |
description | Atlanto-axial rotatory-subluxation (AARS) is the most common pediatric cervical spine injury. Patients usually present with contralateral rotation and inclination of the upper cervical spine after minor trauma, or associated with an infection of the upper respiratory tract. According to the authors, initial management of patients with acute and chronic AARS type I–II should comprise closed reduction and immobilization with a cervical collar or a Halo-Body-Jacket. Surgical options of open reduction or C1/2 fusion should be restricted to irreducible or recurrent subluxations. This paper reviews the detailed technique of transoral closed reduction of AARS, as well as the preoperative and postoperative considerations. |
format | Online Article Text |
id | pubmed-5999364 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
spelling | pubmed-59993642018-06-19 Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence Jeszenszky, Dezsoe Fekete, Tamas Kleinstück, Frank Haschtmann, Daniel Loibl, Markus Clin Spine Surg Surgical Techniques Atlanto-axial rotatory-subluxation (AARS) is the most common pediatric cervical spine injury. Patients usually present with contralateral rotation and inclination of the upper cervical spine after minor trauma, or associated with an infection of the upper respiratory tract. According to the authors, initial management of patients with acute and chronic AARS type I–II should comprise closed reduction and immobilization with a cervical collar or a Halo-Body-Jacket. Surgical options of open reduction or C1/2 fusion should be restricted to irreducible or recurrent subluxations. This paper reviews the detailed technique of transoral closed reduction of AARS, as well as the preoperative and postoperative considerations. Wolters Kluwer 2018-06 2017-07-03 /pmc/articles/PMC5999364/ /pubmed/28678026 http://dx.doi.org/10.1097/BSD.0000000000000563 Text en Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Surgical Techniques Jeszenszky, Dezsoe Fekete, Tamas Kleinstück, Frank Haschtmann, Daniel Loibl, Markus Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence |
title | Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence |
title_full | Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence |
title_fullStr | Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence |
title_full_unstemmed | Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence |
title_short | Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence |
title_sort | transoral closed reduction of fixed atlanto-axial rotatory-subluxation (aars) in childhood and adolescence |
topic | Surgical Techniques |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999364/ https://www.ncbi.nlm.nih.gov/pubmed/28678026 http://dx.doi.org/10.1097/BSD.0000000000000563 |
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