Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Fars, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
J Med Case Rep. 2024 Oct 11;18(1):469. doi: 10.1186/s13256-024-04748-0.
This case series presents five cases of adult atlantoaxial rotatory subluxation (AARS) following traumatic events, focusing on treatment strategies and long-term outcomes.
This paper includes four Iranian male patients and one Iranian female patient with ages ranging from 25 to 46 years old. Each case involved unique presentations and management approaches. Initial conservative treatments, including skull traction and orthoses, were attempted, but surgical intervention became necessary due to inadequate response. Surgical fixation significantly improved functional status and alleviated symptoms in all patients, leading to long-term relief. Radiological assessments demonstrated successful outcomes post-surgery.
This study underscores the importance of considering both conservative and surgical options in managing adult atlantoaxial rotatory subluxation to achieve optimal outcomes.
本病例系列报告了五例成人寰枢椎旋转半脱位（AARS）的创伤性病例，重点介绍了治疗策略和长期结果。
本研究纳入了四名伊朗男性患者和一名伊朗女性患者，年龄 25 岁至 46 岁不等。每个病例均表现独特，管理方法也不同。最初尝试了保守治疗，包括颅骨牵引和矫形器，但由于反应不佳，需要手术干预。手术固定显著改善了所有患者的功能状态和缓解了症状，带来了长期的缓解。影像学评估显示手术后结果良好。
本研究强调了在治疗成人寰枢椎旋转半脱位时，既要考虑保守治疗，也要考虑手术治疗，以获得最佳结果。
