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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Format: | Article |
Language: | English |
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Wiley
2012-01-01
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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. |
format | Article |
id | doaj-art-b5f3532c0a6540ac94190a4b66ac3067 |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2012-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
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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