Traumatic Atlantoaxial Rotatory Fixation with Accompanying Odontoid and C2 Articular Facet Fracture

Oh, Jong Yang; Chough, Chung Kee; Cho, Chul Bum; Park, Hae Kwan

doi:10.3340/jkns.2010.48.5.452

Cited by 15 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…AARF can also be associated with fractures, due to a combination of bone and ligament disruption but this association is very rare; C2 fractures are relatively the most frequently founded, and only six such cases have been reported in the literature[ 8 9 ]; but AARF in combination with an articular facet fracture, like in our case, is an extremely rare injury and to the best of our knowledge only Seybold described similar case. [ 10 ] However, because of the complexity and heterogeneity of these fractures, they are usually lumped under the descriptive category of “miscellaneous C2 fractures” in most published reports.…”

Section: Discussionmentioning

confidence: 69%

Traumatic atlantoaxial rotatory fixation associated with C2 articular facet fracture in adult patient: Case report

Bellil

Hadhri

Sridi

et al. 2014

J Craniovert Jun Spine

View full text Add to dashboard Cite

Traumatic atlantoaxial rotatory fixation is a very rare injury in adults which is often misdiagnosed initially. Its combination with C2 fractures is predominated by dens lesions. Therapeutic management is challenging because of the difficulty to achieve optimal reduction and permanent stability. We report a rare case of traumatic atlantoaxial rotatory fixation in a 56-year-old women associated with C2 articular facet fracture successfully treated by conservative means after patient-awake manual reduction with optimal functional and radiographic outcome.

show abstract

Section: Discussionmentioning

confidence: 69%

Traumatic atlantoaxial rotatory fixation associated with C2 articular facet fracture in adult patient: Case report

Bellil

Hadhri

Sridi

et al. 2014

J Craniovert Jun Spine

View full text Add to dashboard Cite

show abstract

“…Traumatic C1-C2 dislocation complicating an odontoid fracture is relatively rare, and most of these cases are probably fatal (Pissonnier et al 2013 ). Some previous reports showed that reduction and fixation could be achieved by halo vest, resulting in successful healing of the dislocation and fracture (Spoor et al 2008 ; Oh et al 2010 ). However, similar to the present case, in most of the cases described in the literature, the use of a halo vest alone failed to reduce the dislocation, and therefore surgical fixation was performed secondarily (Lenehan et al 2010 ; Hopf et al 2009 ; Moreau et al 2012 ; Przybylski & Welch 1996 ).…”

Section: Discussionmentioning

confidence: 99%

C1 posterior arch screw as an auxiliary anchor in posterior reconstruction for atlantoaxial dislocation associated with type II odontoid fracture: a case report and review of the literature

et al. 2014

View full text Add to dashboard Cite

AbtractIntroductionAlthough pedicle or lateral mass screws are usually chosen to fix atlantoaxial (C1-C2) instability, there is an increased risk for vertebral artery (VA) injury when used in patients with bone or arterial anomalies or osteoporotic bone. Here we report the C1 posterior arch screw as a new technique for upper cervical fixation.Case descriptionA 90-year-old man complained of upper cervical pain after falling in his house. The initial computed tomography (CT) scan showed C1-C2 posterior dislocation with a type II odontoid fracture. The patient underwent C2 fracture reduction and posterior C1-C2 fixation. On the right side of C1, because lateral mass screw placement could cause injury to the dominant VA considering a risk in oldest-old osteoporotic patients, a posterior arch screw was chosen instead as an auxiliary anchor. An intralaminar screw was placed on the right side of C2 because a high-riding VA was observed. A lateral mass screw and a pars interarticularis screw were placed on the left side of C1 and C2, respectively. Ten months later, the odontoid fracture had healed, with normal anatomical alignment. Although the patient experienced slight weakness when spreading his bilateral fingers, his overall condition was good.Discussion and evaluationWe have presented a novel technique using C1 posterior arch screws for the fixation of a C1-C2 dislocation. Such a screw is an alternative to the C1 lateral mass screw in patients who are at risk for a VA injury because of anomalous bone and arterial structures or poor bone quality.ConclusionsAlthough there have been few comparable studies, and the long-term outcome is unknown, fixation with a posterior arch screw could be a beneficial choice for surgeries involving the upper cervical region.

show abstract

“…Until the beginning of this century, C1-C2 dislocations with associated odontoid fractures had been described by 11 authors [8, 10–19] . Two cases were managed by halo-vest immobilization for 3–4 months [18, 19], another case was treated by anterior C1-C2 fixation according to Vaccaro’s technique [13], and all other cases were treated by C1-C2 posterior fixation [8, 10–12, 14–17]. One important pitfall of closed reduction techniques is overdistraction [20].…”

Section: Discussionmentioning

confidence: 99%

Traumatic posterior Atlanto-axial dislocation: case report of an atypical C1-C2 dislocation with an anterior arch fracture of C1

Ghailane

Alsofyani

Pointillart

et al. 2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundAn atypical case of a traumatic posterior C1-C2 dislocation with an anterior arch fracture of C1 is reported. A novel conservative treatment for this rare lesion is described.Case presentationAn eighty-nine-year-old male fell off a ladder at home and presented with an acute traumatic cervical spine trauma, which we believe involved a distraction mechanism. The patient was neurologically intact; he denied any weakness, numbness or paresthesia. A preoperative CT-scan demonstrated a posterior dislocation with an anterior arch of C1 fracture. Conservative management was elected. Reduction was achieved by closed manual reduction under general anesthesia. A postoperative CT demonstrated a complete reduction of the atlanto-axial dislocation.ConclusionBased on this case report and relevant literature, we present an unusual lesion of the upper cervical spine treated nonoperatively with closed manual reduction under general anesthesia. To date, there is no available consensus for the management of these lesions.

show abstract

Traumatic Atlantoaxial Rotatory Fixation with Accompanying Odontoid and C2 Articular Facet Fracture

Cited by 15 publications

References 13 publications

Traumatic atlantoaxial rotatory fixation associated with C2 articular facet fracture in adult patient: Case report

Traumatic atlantoaxial rotatory fixation associated with C2 articular facet fracture in adult patient: Case report

C1 posterior arch screw as an auxiliary anchor in posterior reconstruction for atlantoaxial dislocation associated with type II odontoid fracture: a case report and review of the literature

Traumatic posterior Atlanto-axial dislocation: case report of an atypical C1-C2 dislocation with an anterior arch fracture of C1

Contact Info

Product

Resources

About