Bellil Mehdi, Hadhri Khaled, Sridi Maamoun, Kooli Mondher
Department of Orthopedics and Traumatology, Charles Nicolle's Hospital, Tunis, Tunisia.
J Craniovertebr Junction Spine. 2014 Oct;5(4):163-6. doi: 10.4103/0974-8237.147083.
Traumatic atlantoaxial rotatory fixation is a very rare injury in adults which is often misdiagnosed initially. Its combination with C2 fractures is predominated by dens lesions. Therapeutic management is challenging because of the difficulty to achieve optimal reduction and permanent stability. We report a rare case of traumatic atlantoaxial rotatory fixation in a 56-year-old women associated with C2 articular facet fracture successfully treated by conservative means after patient-awake manual reduction with optimal functional and radiographic outcome.
创伤性寰枢椎旋转固定在成人中是一种非常罕见的损伤，最初常被误诊。其与C2骨折合并时，以齿状突病变为主。由于难以实现最佳复位和永久稳定，治疗管理具有挑战性。我们报告了一例56岁女性的创伤性寰枢椎旋转固定罕见病例，该病例与C2关节突骨折相关，在患者清醒下手动复位后采用保守方法成功治疗，功能和影像学结果均最佳。
