Nontraumatic atlantoaxial rotatory subluxation in adults: Report of two cases

BACKGROUND: Nontraumatic infectious atlantoaxial rotatory subluxation (AARS) is rare and less frequently encountered in adults versus children. We utilized a stepwise approach to treat two adults with nontraumatic infectious AARS and summarized the relevant literature. CASE DESCRIPTION: Two patients...

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Detalles Bibliográficos
Autores principales: Zhao, Xiaochun, Prather, Kiana Y., Orenday-Barraza, José M., Muhammad, Fauziyya Y., Villeneuve, Lance M., Cavagnaro, María José, Baaj, Ali A., Dahdaleh, Nader S., Smith, Zachary A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9805632/
https://www.ncbi.nlm.nih.gov/pubmed/36600765
http://dx.doi.org/10.25259/SNI_936_2022
Descripción
Sumario:BACKGROUND: Nontraumatic infectious atlantoaxial rotatory subluxation (AARS) is rare and less frequently encountered in adults versus children. We utilized a stepwise approach to treat two adults with nontraumatic infectious AARS and summarized the relevant literature. CASE DESCRIPTION: Two patients, ages 35 and 66, presented with classic clinical and imaging findings for infectious nontraumatic AARS. Here, we summarized the management for these two patients along with the literature. CONCLUSION: Nontraumatic infectious AARS in adults requires prompt X-ray diagnosis and timely application of traction to minimize neurological deficits. MR/CT imaging next offers critical information regarding whether operative stabilization is warranted.

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