Oh Jong Yang, Chough Chung Kee, Cho Chul Bum, Park Hae Kwan
Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
J Korean Neurosurg Soc. 2010 Nov;48(5):452-4. doi: 10.3340/jkns.2010.48.5.452. Epub 2010 Nov 30.
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.
伴有齿状突和C2关节面骨折的创伤性寰枢椎旋转固定（AARF）是一种非常罕见的损伤，医学文献中仅报道过1例此类病例。我们在此报告1例伴有齿状突和C2关节面粉碎性骨折的创伤性AARF病例，该病例采用颅骨牵引和头环背心固定治疗3个月。去除头环背心固定后，患者颈部疼痛改善，颈部活动得以保留，无任何神经功能缺损，尽管仔细检查仍可观察到轻度斜颈。
