成人非创伤性寰枢椎旋转半脱位：两例报告。
Nontraumatic atlantoaxial rotatory subluxation in adults: Report of two cases.
作者信息
Zhao Xiaochun, Prather Kiana Y, Orenday-Barraza José M, Muhammad Fauziyya Y, Villeneuve Lance M, Cavagnaro María José, Baaj Ali A, Dahdaleh Nader S, Smith Zachary A
机构信息
Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Department of Neurosurgery, University of Arizona College of Medicine, Phoenix, Arizona.
出版信息
Surg Neurol Int. 2022 Dec 23;13:589. doi: 10.25259/SNI_936_2022. eCollection 2022.
BACKGROUND
Nontraumatic infectious atlantoaxial rotatory subluxation (AARS) is rare and less frequently encountered in adults versus children. We utilized a stepwise approach to treat two adults with nontraumatic infectious AARS and summarized the relevant literature.
CASE DESCRIPTION
Two patients, ages 35 and 66, presented with classic clinical and imaging findings for infectious nontraumatic AARS. Here, we summarized the management for these two patients along with the literature.
CONCLUSION
Nontraumatic infectious AARS in adults requires prompt X-ray diagnosis and timely application of traction to minimize neurological deficits. MR/CT imaging next offers critical information regarding whether operative stabilization is warranted.
背景
非创伤性感染性寰枢椎旋转半脱位（AARS）较为罕见，在成人中比儿童中更不常见。我们采用逐步治疗方法治疗了两名患有非创伤性感染性AARS的成人，并总结了相关文献。
病例描述
两名患者，年龄分别为35岁和66岁，表现出非创伤性感染性AARS的典型临床和影像学表现。在此，我们总结了这两名患者的治疗情况以及相关文献。
结论
成人非创伤性感染性AARS需要及时进行X线诊断并及时应用牵引以尽量减少神经功能缺损。接下来，磁共振成像/计算机断层扫描成像可提供有关是否需要进行手术稳定治疗的关键信息。
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