Min Han Zaw, Nagao Nobuto, Sakakibara Toshihiko, Akeda Koji, Matsubara Takao, Sudo Akihiro, Kasai Yuichi
Department of Spinal Surgery and Medical Engineering, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan ; Department of Orthopaedic Surgery, University of Medicine, Mandalay, Myanmar.
Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Japan.
Case Rep Orthop. 2014;2014:593621. doi: 10.1155/2014/593621. Epub 2014 Mar 4.
We presented a very rare case of adult Fielding type I atlantoaxial rotatory fixation (AARF). We performed awake manual reduction of the dislocation without need for anesthesia, achieving excellent outcomes, and no previous reports have described awake reduction without the need for anesthesia. AARF in this case was attributed to excessive extension and rotation forces applied to the cervical spine. For the management of adult Fielding type I AARF, early diagnosis and early reduction may lead to excellent outcomes.
我们报告了一例极为罕见的成人菲尔德ing I型寰枢椎旋转固定（AARF）病例。我们在无需麻醉的情况下进行了清醒状态下的脱位手法复位，取得了极佳的效果，且此前尚无无需麻醉进行清醒复位的报道。该病例中的AARF归因于施加于颈椎的过度伸展和旋转力。对于成人菲尔德ing I型AARF的治疗，早期诊断和早期复位可能会带来极佳的效果。
