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枕颈固定治疗严重创伤性寰枢椎脱位及Ⅲ型齿状突骨折:1例报告

Severe traumatic atlantoaxial dislocation and type III odontoid fracture treated with occipitocervical fixation: a case report.

作者信息

Mahadewa Tjokorda Gde Bagus, Junus Eufrata Silvestris, Awyono Steven, Japardi Denny, Lauren Christopher

机构信息

Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia.

出版信息

J Surg Case Rep. 2024 May 2;2024(5):rjae281. doi: 10.1093/jscr/rjae281. eCollection 2024 May.

Abstract

The combination of atlantoaxial joint dislocation accompanied by an odontoid process fracture is exceptionally rare, with only a few cases reported. The estimated frequency of these cases is < 2% of all upper cervical spine injuries. In this report, the authors describe an unusual case of traumatic atlantoaxial dislocation with a type III odontoid fracture in a 44-year-old male patient. Before the diagnosis, the patient had a history of seeking a masseur for a neck massage. Subsequently, the patient underwent occipitocervical stabilization to address the underlying condition. This procedure aims to treat the instability between the skull and cervical spine and should be considered in the treatment planning if the patient's anatomy suits it.

摘要

寰枢关节脱位合并齿状突骨折极为罕见,仅有少数病例报道。这些病例的估计发生率占所有上颈椎损伤的不到2%。在本报告中,作者描述了一名44岁男性患者发生的一例罕见的创伤性寰枢关节脱位伴III型齿状突骨折。在确诊之前,该患者有找按摩师进行颈部按摩的病史。随后,患者接受了枕颈固定术以治疗潜在病情。该手术旨在治疗颅骨与颈椎之间的不稳定,如果患者的解剖结构适合,在治疗规划中应考虑采用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d90/11066803/8a20f2698856/rjae281f1.jpg

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