Adult Traumatic Atlantoaxial Rotatory Fixation: A Case Report | Zendy

Zaw Min Han | Zendy; Nobuto Nagao | Zendy; Toshihiko Sakakibara | Zendy; Koji Akeda | Zendy; Takao Matsubara | Zendy; Akihiro Sudo | Zendy; Yuichi Kasai | Zendy

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Adult Traumatic Atlantoaxial Rotatory Fixation: A Case Report

Author(s) -

Zaw Min Han,

Nobuto Nagao,

Toshihiko Sakakibara,

Koji Akeda,

Takao Matsubara,

Akihiro Sudo,

Yuichi Kasai

Publication year - 2014

Publication title -

case reports in orthopedics

Language(s) - English

Resource type - Journals

eISSN - 2090-6749

pISSN - 2090-6757

DOI - 10.1155/2014/593621

Subject(s) - medicine , fixation (population genetics) , reduction (mathematics) , cervical spine , surgery , anesthesia , population , geometry , mathematics , environmental health

We presented a very rare case of adult Fielding type I atlantoaxial rotatory fixation (AARF). We performed awake manual reduction of the dislocation without need for anesthesia, achieving excellent outcomes, and no previous reports have described awake reduction without the need for anesthesia. AARF in this case was attributed to excessive extension and rotation forces applied to the cervical spine. For the management of adult Fielding type I AARF, early diagnosis and early reduction may lead to excellent outcomes.

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