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结核性寰枢椎旋转固定所致疼痛性斜颈:一例报告

Painful torticollis due to tubercular atlantoaxial rotatory fixation: A case report.

作者信息

Rahimizadeh Abolfazl, Williamson Walter, Rahimizadeh Shaghayegh, Amirzadeh Mahan

机构信息

Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Surg Neurol Int. 2020 Dec 16;11:440. doi: 10.25259/SNI_663_2020. eCollection 2020.

Abstract

BACKGROUND

Tubercular atlantoaxial, rotary dislocation warranting fixation (AARF) is an extremely rare event.

CASE DESCRIPTION

AARF was suspected in a 23-year-old female with painful torticollis. When diagnostic studies documented unilateral destruction of the left lateral mass of the atlas, she underwent removal of the lateral mass, reduction of the deformity, and C1-C2 fusion/reconstruction utilizing an iliac bone graft. Laboratory tests and the pathologic surveys were all consistent with the diagnosis of underlying tuberculosis.

CONCLUSION

We present a case of tubercular atlantoaxial, rotary dislocation (AARF) in a patient who warranted C1-C2 decompression, reduction, and fusion.

摘要

背景

需要固定的结核性寰枢椎旋转性脱位(AARF)极为罕见。

病例描述

一名23岁患有疼痛性斜颈的女性被怀疑患有AARF。当诊断性检查证实寰椎左侧块单侧破坏时,她接受了侧块切除、畸形矫正,并使用髂骨移植进行C1-C2融合/重建。实验室检查和病理检查均与潜在结核病的诊断相符。

结论

我们报告了一例需要进行C1-C2减压、复位和融合的结核性寰枢椎旋转性脱位(AARF)患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4d8/7771482/9d402b24a42d/SNI-11-440-g001.jpg

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