Adult Traumatic Atlantoaxial Rotatory Fixation: A Case Report. (4th March 2014)

• Record Type: Journal Article
• Authors: Min Han, Zaw; Nagao, Nobuto; Sakakibara, Toshihiko; Akeda, Koji; Matsubara, Takao; Sudo, Akihiro; Kasai, Yuichi
• Other Names: Hong J. T. Academic Editor.; Mayr J. Academic Editor.; Ozer A. F. Academic Editor.; Papadakis S. A. Academic Editor.; Vanni S. Academic Editor.
• Is Part Of: Case reports in orthopedics. Volume 2014(2014)
• Publication Date: 2014-03-04
• Subjects: Orthopedics -- Periodicals; Orthopedics; Orthopedics; Periodicals; Electronic journals; Periodicals; 616.7
• DOI: 10.1155/2014/593621
• Languages: English
• ISSNs: 2090-6749

Abstract

Abstract : We presented a very rare case of adult Fielding type I atlantoaxial rotatory fixation (AARF). We performed awake manual reduction of the dislocation without need for anesthesia, achieving excellent outcomes, and no previous reports have described awake reduction without the need for anesthesia. AARF in this case was attributed to excessive extension and rotation forces applied to the cervical spine. For the management of adult Fielding type I AARF, early diagnosis and early reduction may lead to excellent outcomes.