A novel technique to treat Grisel’s syndrome: results of a simplified, therapeutical algorithm

Pilge, Hakan; Holzapfel, Boris Michael; Lampe, Renée; Pilge, Stefanie; Prodinger, Peter Michael

doi:10.1007/s00264-013-1895-4

Cited by 14 publications

(14 citation statements)

References 18 publications

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“…Instead of minerva cast after manual reposition, we performed traction. Loss l of reposition after manipulation followed by soft collar immobilization was reported by Pilge et al [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

“…Usually, this syndrome affects children under the age of 12 years, without predisposition for gender. [ 7 ] There are also reports on adults, but it is rare. [ 7 ] Neurological complications are rare and reported in 15% of all patients with NTARS.…”

Section: Discussionmentioning

confidence: 99%

“…[ 7 ] There are also reports on adults, but it is rare. [ 7 ] Neurological complications are rare and reported in 15% of all patients with NTARS. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment is performed by posterior open reduction and posterior atlantoaxial fixation and arthrodesis with autologous iliac bone graft. [ 7 10 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 10 ] Manual reposition under anesthesia followed by immobilization was reported with good results. [ 7 10 ] This method has the advantage of shortening the treatment period by eliminating the time spent performing traction. In our patient, we choose to start the treatment through closed reduction of subluxation under sedation, using head traction and transoral manipulation of the anteriorly displaced atlas.…”

Section: Discussionmentioning

confidence: 99%

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Rotational dislocation C1–C2 after otoplasty under local anesthesia

Matos

Pinheiro

Costa

et al. 2020

J Craniovert Jun Spine

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Non-traumatic rotational atlantoaxial subluxation (NTARS) is rare and mostly reported after infection of the upper respiratory tract and named Grisel's syndrome. NTARS has also been reported after head-and-neck surgery, but it is extremely rare after otoplasty. A case of NTARS after bilateral otoplasty is reported under local anesthesia, a 15-year-old female being presented with painful torticollis. The diagnosis of atlantoaxial rotatory subluxation was performed using radiographs and computed tomography 2 weeks after the surgery. Closed reduction was performed by traction of the head and transoral direct pressure over an anterior dislocated C1 mass. The reposition of the joint was achieved, but it was very unstable, and it was not possible to keep the reduction. Open posterior reduction and posterior C1–C2 arthrodesis were performed followed by the use of a soft collar during 3 months.

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“…Instead of minerva cast after manual reposition, we performed traction. Loss l of reposition after manipulation followed by soft collar immobilization was reported by Pilge et al [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…[ 7 ] There are also reports on adults, but it is rare. [ 7 ] Neurological complications are rare and reported in 15% of all patients with NTARS. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment is performed by posterior open reduction and posterior atlantoaxial fixation and arthrodesis with autologous iliac bone graft. [ 7 10 ]…”

Section: Discussionmentioning

confidence: 99%