Surgical Management of Adult Traumatic Atlantoaxial Rotatory Subluxation with Unilateral Locked Facet; Case Report and Literature Review
Atlantoaxial rotatory subluxation (AARS) is rarely occurred in adults with trauma as the most common cause. In type A and B it is usually managed with close reduction and external brace; however, in nonresponsive cases, surgical interventions might be needed. Our patient is a 21-year-old man with ne...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2018-10-01
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| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | http://beat.sums.ac.ir/article_44463_681968e285bb71013abd6b565afff640.pdf |
| _version_ | 1819071802064764928 |
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| author | Keyvan Eghbal Abbas Rakhsha Arash Saffarrian Abdolkarim Rahmanian Hamid Reza Abdollahpour Fariborz Ghaffarpasand |
| author_facet | Keyvan Eghbal Abbas Rakhsha Arash Saffarrian Abdolkarim Rahmanian Hamid Reza Abdollahpour Fariborz Ghaffarpasand |
| author_sort | Keyvan Eghbal |
| collection | DOAJ |
| description | Atlantoaxial rotatory subluxation (AARS) is rarely occurred in adults with trauma as the most common cause. In type A and B it is usually managed with close reduction and external brace; however, in nonresponsive cases, surgical interventions might be needed. Our patient is a 21-year-old man with neck pain and torticollis after a car turn- over. There was C1-C2 rotatory subluxation with left side locked facet and C1 rotation about 40 degrees relative to C2 on computed tomography without evident of ligamentous injury in magnetic resonance imaging (MRI). However, during the first 48 hours, two tries of close reduction using Gardner cervical traction under fluoroscopy were failed. Thus, the patient underwent open reduction of the subluxation and atlantoaxial fixation (Harm’s technique) with subsequent relief of pain and torticollis. This a rare case of traumatic AARS type A with unilateral locked facet joint in an adult patient which needed surgical manipulation for reduction. The management of the AARS in adults should be individualized in each patient. |
| first_indexed | 2024-12-21T17:27:37Z |
| format | Article |
| id | doaj.art-efe5d324da6a4f49ac0bb7805dc4861b |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-21T17:27:37Z |
| publishDate | 2018-10-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-efe5d324da6a4f49ac0bb7805dc4861b2022-12-21T18:56:01ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602018-10-016Issue 436737110.29252/beat-06041644463Surgical Management of Adult Traumatic Atlantoaxial Rotatory Subluxation with Unilateral Locked Facet; Case Report and Literature ReviewKeyvan Eghbal0Abbas Rakhsha1Arash Saffarrian2Abdolkarim Rahmanian3Hamid Reza Abdollahpour4Fariborz Ghaffarpasand5Shiraz University of Medical SciencesShiraz University of Medical SciencesShiraz University of Medical SciencesShiraz University of Medical SciencesShiraz University of Medical SciencesTrauma Research Center, Shiraz University of Medical SciencesAtlantoaxial rotatory subluxation (AARS) is rarely occurred in adults with trauma as the most common cause. In type A and B it is usually managed with close reduction and external brace; however, in nonresponsive cases, surgical interventions might be needed. Our patient is a 21-year-old man with neck pain and torticollis after a car turn- over. There was C1-C2 rotatory subluxation with left side locked facet and C1 rotation about 40 degrees relative to C2 on computed tomography without evident of ligamentous injury in magnetic resonance imaging (MRI). However, during the first 48 hours, two tries of close reduction using Gardner cervical traction under fluoroscopy were failed. Thus, the patient underwent open reduction of the subluxation and atlantoaxial fixation (Harm’s technique) with subsequent relief of pain and torticollis. This a rare case of traumatic AARS type A with unilateral locked facet joint in an adult patient which needed surgical manipulation for reduction. The management of the AARS in adults should be individualized in each patient.http://beat.sums.ac.ir/article_44463_681968e285bb71013abd6b565afff640.pdfAtlantoaxial Rotatory Subluxation (AARS)Atlantoaxial FixationTraumaadult |
| spellingShingle | Keyvan Eghbal Abbas Rakhsha Arash Saffarrian Abdolkarim Rahmanian Hamid Reza Abdollahpour Fariborz Ghaffarpasand Surgical Management of Adult Traumatic Atlantoaxial Rotatory Subluxation with Unilateral Locked Facet; Case Report and Literature Review Bulletin of Emergency and Trauma Atlantoaxial Rotatory Subluxation (AARS) Atlantoaxial Fixation Trauma adult |
| title | Surgical Management of Adult Traumatic Atlantoaxial Rotatory Subluxation with Unilateral Locked Facet; Case Report and Literature Review |
| title_full | Surgical Management of Adult Traumatic Atlantoaxial Rotatory Subluxation with Unilateral Locked Facet; Case Report and Literature Review |
| title_fullStr | Surgical Management of Adult Traumatic Atlantoaxial Rotatory Subluxation with Unilateral Locked Facet; Case Report and Literature Review |
| title_full_unstemmed | Surgical Management of Adult Traumatic Atlantoaxial Rotatory Subluxation with Unilateral Locked Facet; Case Report and Literature Review |
| title_short | Surgical Management of Adult Traumatic Atlantoaxial Rotatory Subluxation with Unilateral Locked Facet; Case Report and Literature Review |
| title_sort | surgical management of adult traumatic atlantoaxial rotatory subluxation with unilateral locked facet case report and literature review |
| topic | Atlantoaxial Rotatory Subluxation (AARS) Atlantoaxial Fixation Trauma adult |
| url | http://beat.sums.ac.ir/article_44463_681968e285bb71013abd6b565afff640.pdf |
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