Posttraumatic Atlantoaxial Rotatory Dislocation in a Healthy Adult Patient: A Case Report and Review of the Literature

Atlantoaxial rotatory dislocation (AARD) is a rare complication in adults usually leading to pain, spinal cord injury, or death. Clinical and radiological diagnosis is difficult and often delayed. We report a rare case of posttraumatic AARD in a neurological intact 27-year-old male in which initial...

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Main Authors: Giuseppe Maida, Eleonora Marcati, Silvio Sarubbo
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2012/183581
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author Giuseppe Maida
Eleonora Marcati
Silvio Sarubbo
author_facet Giuseppe Maida
Eleonora Marcati
Silvio Sarubbo
author_sort Giuseppe Maida
collection DOAJ
description Atlantoaxial rotatory dislocation (AARD) is a rare complication in adults usually leading to pain, spinal cord injury, or death. Clinical and radiological diagnosis is difficult and often delayed. We report a rare case of posttraumatic AARD in a neurological intact 27-year-old male in which initial radiographic evaluation was negative. A computed tomography (CT) scan was promptly done because the patient showed a severe torticollis. Therefore, early diagnosis, immobilisation, and surgical fusion and arthrodesis were performed. After surgery, cervical pain and torticollis were resolved and the patient remained neurologically intact with a CT scan documentation of fusion at the 3-year followup.
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spelling doaj-art-b5f3532c0a6540ac94190a4b66ac30672025-02-03T07:25:25ZengWileyCase Reports in Orthopedics2090-67492090-67572012-01-01201210.1155/2012/183581183581Posttraumatic Atlantoaxial Rotatory Dislocation in a Healthy Adult Patient: A Case Report and Review of the LiteratureGiuseppe Maida0Eleonora Marcati1Silvio Sarubbo2Division of Neurosurgery, Department of Neuroscience and Rehabilitation, University-Hospital S. Anna, 8 Via Aldo Moro, Cona, 44124 Ferrara, ItalyDivision of Neurosurgery, Department of Neuroscience and Rehabilitation, University-Hospital S. Anna, 8 Via Aldo Moro, Cona, 44124 Ferrara, ItalyDivision of Neurosurgery, Department of Neuroscience and Rehabilitation, University-Hospital S. Anna, 8 Via Aldo Moro, Cona, 44124 Ferrara, ItalyAtlantoaxial rotatory dislocation (AARD) is a rare complication in adults usually leading to pain, spinal cord injury, or death. Clinical and radiological diagnosis is difficult and often delayed. We report a rare case of posttraumatic AARD in a neurological intact 27-year-old male in which initial radiographic evaluation was negative. A computed tomography (CT) scan was promptly done because the patient showed a severe torticollis. Therefore, early diagnosis, immobilisation, and surgical fusion and arthrodesis were performed. After surgery, cervical pain and torticollis were resolved and the patient remained neurologically intact with a CT scan documentation of fusion at the 3-year followup.http://dx.doi.org/10.1155/2012/183581
spellingShingle Giuseppe Maida
Eleonora Marcati
Silvio Sarubbo
Posttraumatic Atlantoaxial Rotatory Dislocation in a Healthy Adult Patient: A Case Report and Review of the Literature
Case Reports in Orthopedics
title Posttraumatic Atlantoaxial Rotatory Dislocation in a Healthy Adult Patient: A Case Report and Review of the Literature
title_full Posttraumatic Atlantoaxial Rotatory Dislocation in a Healthy Adult Patient: A Case Report and Review of the Literature
title_fullStr Posttraumatic Atlantoaxial Rotatory Dislocation in a Healthy Adult Patient: A Case Report and Review of the Literature
title_full_unstemmed Posttraumatic Atlantoaxial Rotatory Dislocation in a Healthy Adult Patient: A Case Report and Review of the Literature
title_short Posttraumatic Atlantoaxial Rotatory Dislocation in a Healthy Adult Patient: A Case Report and Review of the Literature
title_sort posttraumatic atlantoaxial rotatory dislocation in a healthy adult patient a case report and review of the literature
url http://dx.doi.org/10.1155/2012/183581
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AT silviosarubbo posttraumaticatlantoaxialrotatorydislocationinahealthyadultpatientacasereportandreviewoftheliterature