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Posttraumatic atlantoaxial rotatory dislocation in a healthy adult patient: a case report and review of the literature.
MedLine Citation:
PMID:  23227389     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Atlantoaxial rotatory dislocation (AARD) is a rare complication in adults usually leading to pain, spinal cord injury, or death. Clinical and radiological diagnosis is difficult and often delayed. We report a rare case of posttraumatic AARD in a neurological intact 27-year-old male in which initial radiographic evaluation was negative. A computed tomography (CT) scan was promptly done because the patient showed a severe torticollis. Therefore, early diagnosis, immobilisation, and surgical fusion and arthrodesis were performed. After surgery, cervical pain and torticollis were resolved and the patient remained neurologically intact with a CT scan documentation of fusion at the 3-year followup.
Authors:
Giuseppe Maida; Eleonora Marcati; Silvio Sarubbo
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Publication Detail:
Type:  Journal Article     Date:  2012-11-18
Journal Detail:
Title:  Case reports in orthopedics     Volume:  2012     ISSN:  2090-6757     ISO Abbreviation:  Case Rep Orthop     Publication Date:  2012  
Date Detail:
Created Date:  2012-12-10     Completed Date:  2012-12-11     Revised Date:  2013-03-07    
Medline Journal Info:
Nlm Unique ID:  101591806     Medline TA:  Case Rep Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  183581     Citation Subset:  -    
Affiliation:
Division of Neurosurgery, Department of Neuroscience and Rehabilitation, University-Hospital S. Anna, 8 Via Aldo Moro, Cona, 44124 Ferrara, Italy.
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