Department of Orthopedics, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
JBJS Case Connect. 2020 Apr-Jun;10(2):e0485. doi: 10.2106/JBJS.CC.18.00485.
A 47-year-old man presented with traumatic anterior atlantoaxial subluxation (type III) associated with type III odontoid fracture with no neurological deficit. He was managed surgically with posterior reduction and C1-C2 fixation and fusion. The association of anterior atlantoaxial rotatory subluxation (Fielding type III) with odontoid fracture (Anderson and D'Alonzo type III) is rare with only 7 reported cases in recent literature.
This report adds important information regarding the management and presentation of such an injury and also describes a serious complication associated with type III odontoid fractures, which was managed conservatively.
一名 47 岁男性因创伤性寰枢前脱位（III 型）合并无神经功能缺损的 III 型齿状突骨折就诊。他接受了后路复位和 C1-C2 固定融合手术治疗。寰枢前旋转半脱位（菲尔德ing 型 III 型）合并齿状突骨折（安德森和达隆佐 III 型）的关联较为罕见，最近文献中仅报道了 7 例。
本报告提供了有关此类损伤的处理和表现的重要信息，并描述了与 III 型齿状突骨折相关的严重并发症，该并发症采用保守治疗。
