[A case of atlanto-axial rotatory fixation associated with Jefferson's fracture].
The authors present a case of atlanto-axial rotatory fixation associated with Jefferson's fracture. A 52-year-old man was admitted to our hospital complaining of severe neck pain and torticollis after a traffic accident. Cervical x-ray films showed fracture of the atlas. CT scans demonstrated traumatic subarachnoid hemorrhage and atlanto-axial rotatory fixation. The patient was managed with skull traction and reposition was achieved. Although he was maintained in a halo device for 4 months, rotary fixation recurred. He underwent posterior fusion between the atlas and axis. We review the literature and discuss the diagnostic problems and methods of treatment for atlanto-axial rotatory fixation.
Kurimoto
M
M
Department of Neurosurgery, Toyama Medical and Pharmaceutical University.
Endo
S
S
Ikeda
S
S
Masuda
R
R
Takaku
A
A
Horie
Y
Y
D001268:Atlanto-Axial Joint / Q000293:injuries*; D001270:Cervical Atlas / Q000293:injuries*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012399:Rotation; D012886:Skull; D016103:Spinal Fractures / Q000150:complications / Q000628:therapy*; D013123:Spinal Fusion; D014143:Traction