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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,...

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Autores principales: Jeszenszky, Dezsoe, Fekete, Tamas, Kleinstück, Frank, Haschtmann, Daniel, Loibl, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2018
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.
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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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