Recurrent traumatic atlantoaxial rotatory subluxation: Case report.

ABSTRACT:

Introduction

Atlantoaxial rotatory subluxation (AARS) is not uncommon in paediatric emergencies, however, the complications might be fatal. Long onset before presentation is correlated with higher recurrence and persistent deformity. There is no consensus on the treatment of AARS yet. Selected patients may benefit from conservative approaches; however, retention might be difficult, and subluxation may recur.

Presentation of case

A 6-year-old boy was admitted to our institution with AARS for three months before admission. Typical Cock-Robin position was observed. Computed tomography (CT) indicated AARS Fielding and Hawkins grade III. We treated the case conservatively by closed reduction and cervical traction using Gardner-Wells tongs. However, poor compliance resulted recurr

SUBMITTER: Tobing SDAL 

PROVIDER: S-EPMC7198983 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature