Singh V K, Singh P K, Balakrishnan S K, Leitao J
Department of Trauma, Orthopaedics and Spinal Surgery, Luton & Dunstable Hospital NHS Trust, Luton, UK.
J Clin Neurosci. 2009 May;16(5):721-2. doi: 10.1016/j.jocn.2008.07.082. Epub 2009 Mar 4.
Rotatory subluxation of the atlantoaxial joint in adults is a rare, but potentially life-threatening injury. Delayed or missed diagnosis can lead to catastrophic consequences. Early recognition and prompt treatment is paramount to avoid long-term morbidity and disability. We report on an instance of bilateral atlantoaxial rotatory subluxation (AARS) in a 25-year-old female who presented to the Casualty Department with a painful neck, right-sided hemiparesis and torticollis after a road traffic collision. Reduction was achieved by controlled cervical traction followed by immobilization in a four-post Halo brace, with complete resolution of her symptoms. At the 12-month follow-up, she had normal neck movements with no signs of instability.
成人寰枢关节旋转性半脱位是一种罕见但可能危及生命的损伤。诊断延迟或漏诊可导致灾难性后果。早期识别和及时治疗对于避免长期发病和残疾至关重要。我们报告一例25岁女性双侧寰枢关节旋转性半脱位（AARS）病例，该患者在道路交通事故后因颈部疼痛、右侧偏瘫和斜颈就诊于急诊科。通过控制性颈椎牵引，随后用四柱式头环支架固定实现了复位，她的症状完全缓解。在12个月的随访中，她颈部活动正常，没有不稳定迹象。
