Open AccessTraumatic atlantoaxial dislocation with an odontoid fracture: A rare and potentially fatal injury
Author(s) -
Khaled Zitouna,
Hend Riahi,
Nabil Ben Lassoued,
Mohamed Amine Selmene,
Maher Barsaoui,
Ghassen Drissi
Publication year - 2019
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/ajns.ajns_214_19
Subject(s) - medicine , surgery , cervical spine injury , reduction (mathematics) , neck pain , respiratory distress , spastic , cervical spine , physical therapy , alternative medicine , pathology , cerebral palsy , geometry , mathematics
Traumatic dislocation of the atlanto-axial joint in combination with an odontoid fracture remains a rare entity. Beaucause of its instability, it's alsoo a seriuous injury. A fatal outcome is feared especially in elderly. We report a case of 74-year-old man who presented with neck pain Confusion and spastic tetraparesia after a low energy trauma. Radiographs and computed tomography demonstrated a C1C2 dislocation with odontoid fracture. After an unsuccessful attempt at closed reduction with halo traction, a surgical stabilisation was performed using a posterior approach. Death was occured in early postoperative due to respiratory distress.