| Post-traumatic Atlantoaxial Rotatory Dislocation in an Adult Treated by Open Reduction and C1-C2 Transpedicular Screw Fixation. |
| Yeon Seong Kim, Jung Kil Lee, Jae Hyoo Kim, Soo Han Kim |
| Department of Neurosurgery, Chonnam National University Hospital & Medical School, Gwangju, Korea. jklee0261@yahoo.com |
|
|
|
|
| |
| ABSTRACT |
|
Atlantoaxial rotatory dislocation (AARD) is an uncommon disorder of childhood in which clinical diagnosis is generally difficult and often made late. It is very rare in adults because of the unique biomechanical features of the atlantoaxial articulation. We report a case of post-traumatic AARD in an adult. Reduction was difficult to obtain by skull traction and gentle manipulation. Therefore, the patient was treated surgically by an open reduction, transpedicular screw fixation, and posterior C1-2 wiring with graft. The normal atlantoaxial relation was restored with disappearance of torticollis. Postoperatively, the patient remains neurologically intact and has radiographic documentation of fusion. Atlantoaxial transpedicular screw fixation can be one of the treatment options for the AARD. |
| Key Words:
Atlantoaxial dislocation; Rotatory; Transpedicular screw |
|
|
|
Full text via DOI
Download Citation 
