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Journal of Korean Neurosurgical Society 2010;48(5): 452-454.
doi: https://doi.org/10.3340/jkns.2010.48.5.452
Traumatic Atlantoaxial Rotatory Fixation with Accompanying Odontoid and C2 Articular Facet Fracture.
Jong Yang Oh, Chung Kee Chough, Chul Bum Cho, Hae Kwan Park
1Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. chough@catholic.ac.kr
2Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Korea.
ABSTRACT
Traumatic atlantoaxial rotatory fixation (AARF) with accompanying odontoid and C2 articular facet fracture is a very rare injury, and only one such case has been reported in the medical literature. We present here a case of a traumatic AARF associated with an odontoid and comminuted C2 articular facet fracture, and this was treated with skull traction and halo-vest immobilization for 3 months. After removal of the halo-vest immobilization, his neck pain was improved and his neck motion was preserved without any neurologic deficits although mild torticolis was still observed in closer inspection.
Key Words: Atlantoaxial rotatory fixation; Odontoid fracture
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