Complete recovery following atlantoaxial fracture-dislocation with bilateral carotid and vertebral artery injury.
A patient sustained a flexion-distraction injury with atlantoaxial dislocation and traumatic dissection of the carotid and vertebral arteries bilaterally. Difficulties in management including fracture reduction and stabilization, avoidance of further vascular injury and preservation of neural function are discussed.
Leach
J C D
JC
Department of Neurosurgery, The Alfred Hospital, Prahran, Victoria, Australia. john.leach@doctors.org.uk
Malham
G M
GM
D000063:Accidents, Traffic; D001268:Atlanto-Axial Joint / Q000293:injuries* / Q000601:surgery; D020212:Carotid Artery Injuries / Q000601:surgery*; D001270:Cervical Atlas / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D020127:Recovery of Function; D016103:Spinal Fractures / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000293:injuries* / Q000601:surgery; D055815:Young Adult