Pure Traumatic Posterior Dislocation of the Atlantoaxial Joint without Associated Odontoid Fracture and Neurological Deficit: a Case Report, Reduction Technique and Literature Review
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Abstract
Pure traumatic posterior atlantoaxial dislocation without fracture of the odontoid process is an extremely rare condition. The treatments vary and remain controversial. We reported a 40-year-old woman who sustained this kind of dislocation. Closed reduction in awakening was achieved using intravenous analgesia and fluoroscopy. Atlantoaxial instability was demonstrated after anatomical reduction and then managed by posterior screw-rod instrumentation and fusion. One-year postoperatively, the patient had painless stable spine without neurological deficit or evidence of implant failure. This article aimed to describe reduction technique and review the literatures about treatment outcomes of this injury.
Article Details
บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
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