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Titolo:
Traumatic atlantoaxial rotatory dislocation with odontoid fracture - Case report and review
Autore:
Fuentes, S; Bouillot, P; Palombi, O; Ducolombier, A; Desgeorges, M;
Indirizzi:
Timone Univ Hosp Ctr, Dept Neurosurg, Serv Neurochirurg, F-13385 Marseille5, France Timone Univ Hosp Ctr Marseille France 5 rurg, F-13385 Marseille5, France Val Grace Mil Teaching Hosp, Dept Neurosurg, Paris, France Val Grace Mil Teaching Hosp Paris France Dept Neurosurg, Paris, France
Titolo Testata:
SPINE
fascicolo: 7, volume: 26, anno: 2001,
pagine: 830 - 834
SICI:
0362-2436(20010401)26:7<830:TARDWO>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUBLUXATION; FIXATION; INSTABILITY; MANAGEMENT; JOINTS; AXIS;
Keywords:
atlantoaxial; odontoid fracture; rotatory dislocation;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Fuentes, S Timone Univ Hosp Ctr, Dept Neurosurg, Serv Neurochirurg, 264 Blvd St Pierre, F-13385 Marseille 5, France Timone Univ Hosp Ctr 264 Blvd St Pierre Marseille France 5 nce
Citazione:
S. Fuentes et al., "Traumatic atlantoaxial rotatory dislocation with odontoid fracture - Case report and review", SPINE, 26(7), 2001, pp. 830-834

Abstract

Study Design. A case of traumatic rotatory dislocation associated with odontoid fracture is reported. Objectives. To report a rare case of traumatic rotatory dislocation associated with odontoid fracture, and to discuss the mechanism underlying spinalinstability and management. Summary of Background Data. This case is a cross between traumatic rotatory fixation and atlantoaxial rotatory dislocation. Classification of rotatory subluxation change after osteosynthesis of the odontoid process was undertaken. Methods. A 24-year-old man sustained head and cervical injury after jumping. A Type 2 odontoid fracture without displacement was noted. Results. Without further traumatic event, 1 month after injury, computed tomography scan showed posterior displacement of the odontoid fracture and Type 4 or a atlantoaxial rotatory luxation. After surgical fixation and reduction of the odontoid fracture, the rotatory subluxation classification changed and became Type 1 or A. Posterior C1-C2 arthrodesis was performed. Thepatient wore a Philadelphia cervical collar for 3 months and underwent physiotherapy. Conclusions. As the pivot of rotatory subluxation changed after odontoid process osteosynthesis, posterior C1-C2 arthrodesis was performed. The patient probably could have been treated in a single-stage procedure using posterior C1-C2 transarticular fixation with bicortical interspinous graft.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:05:34