Meza Escobar Luis Enrique, Osterhoff Georg, Ossendorf Christian, Wanner Guido A, Simmen Hans-Peter, Werner Clément Ml
Department of Surgery, Division of Trauma Surgery, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland.
J Med Case Rep. 2012 Jan 23;6:27. doi: 10.1186/1752-1947-6-27.
Atlantoaxial rotatory subluxation is rarely caused by trauma in adults. Usually, the treatment of choice is traction using Halo/Gardner-Wells fixation devices for up to six weeks.
We present the case of a 19-year-old Caucasian woman with traumatic atlantoaxial subluxation. Early reduction three hours after trauma and immobilization using only a soft collar were performed and yielded very good clinical results.
In the adult population, atlantoaxial subluxation is a rare condition but is severe if untreated. Early treatment implies a non-surgical approach and a good outcome. Conservative treatment is the recommended first step for this condition.
成人寰枢椎旋转性半脱位很少由创伤引起。通常，首选治疗方法是使用头环/加德纳-韦尔斯固定装置进行牵引，持续长达六周。
我们报告一例19岁白种女性创伤性寰枢椎半脱位的病例。创伤后三小时进行了早期复位，仅使用软颈托固定，取得了非常好的临床效果。
在成人中，寰枢椎半脱位是一种罕见疾病，但如果不治疗则很严重。早期治疗意味着采用非手术方法且预后良好。保守治疗是这种疾病推荐的第一步。
