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慢性创伤性寰枢椎旋转性半脱位闭合复位成功病例:两例报告

Successful Cases of Closed Reduction of Chronic Traumatic Atlantoaxial Rotatory Dislocation: A Report of Two Cases.

作者信息

Abdul Latiff Afif, Muhamad Ariffin Mohd Hisam, Kumar Navin

机构信息

Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.

Spine Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.

出版信息

Cureus. 2023 Mar 21;15(3):e36445. doi: 10.7759/cureus.36445. eCollection 2023 Mar.

Abstract

We report two cases of children with atlantoaxial rotatory dislocation (AARD) post-trauma with a chronic history of persistent neck pain and torticollis. The neurological examinations were normal. The dislocation reduction was challenging; however, cases with such delayed presentation, treated with closed reduction and external stabilization, are rare. After reduction, a serial CT scan during follow-up showed no recurrence.

摘要

我们报告了两例创伤后寰枢椎旋转脱位(AARD)的儿童病例,他们有持续颈部疼痛和斜颈的慢性病史。神经学检查正常。脱位复位具有挑战性;然而,对于这种延迟就诊的病例,采用闭合复位和外固定治疗的情况很少见。复位后,随访期间的系列CT扫描显示无复发。

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