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KMID : 0388720210280010032
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Journal of Korean Society of Spine Surgery
2021 Volume.28 No. 1 p.32 ~ p.35
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Traumatic Neglected Atlanto-Axial Dislocation in Pediatric: A Case Report
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Sornsa-ard Tuanrit
Jinlawal Bunyarit
Niramitsantiphong Anugoon
Liawrungrueang Wongthawat
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Abstract
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Study Design: Case Report
Objectives: Traumatic atlanto-axial dislocation is an unstable injury. We reported clinical and radiographic outcome after occipitocervical fixation with partial reduction in single stage
Summary of Literature Review: Traumatic neglected atlanto-axial dislocation in pediatric is specific cervical spine injury patterns and rare condition that challenge for surgical. management.
Materials and Methods: A 8-year-old boy presented with torticollis and neck pain. He was diagnosed with a traumatic neglected atlanto-axial dislocation after 9 months ago injury. He had preoperative spastic gait. Magnetic resonance imaging (MRI) showed an atlanto-dental dislocation with basilar invagination. He was treated with occipitocervical fixation (occiput to C2) in a single stage.
Results: Post-operatively radiographs were satisfactory. The patient received a rehabilitation program. The patient improved relief of his torticollis and neck pain at a 3-month follow-up.
Conclusions: Posterior instrumented correction (Occipitocervical fixation) is an effective alternative method to a Traumatic neglected atlanto-axial dislocation in pediatric associated with basilar invagination.
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KEYWORD
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Atlantoaxial dislocation, Atlantoaxial joint, Neglected
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