title: Tuberculous altantoaxial subluxation: a case report with review of literature.
abstract: Involvement of upper cervical and craniovertebral junction is rare but might lead to lethal consequences if the diagnosis is delayed. We present a case of atlantoaxial joint tuberculosis, resulting in gross instability of the joint. The patient was treated with antitubercular medication combined with posterior decompression and transarticular screw fixation. Patient improved neurologically, and clinical and radiological improvements were maintained at the latest follow-up of 2 years.
authors.affiliation: Department of Orthopaedics, Postgraguate Institute of Medical Education and Research, Chandigarh, India, goyal.tarun@gmail.com.
authors.forename: Tarun
authors.initials: T
authors.lastname: Goyal
authors.forename: Sujit Kumar
authors.initials: SK
authors.lastname: Tripathy
authors.forename: Raj
authors.initials: R
authors.lastname: Bahadur
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001863:Bone Screws; D003131:Combined Modality Therapy; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D007593:Joint Instability / Q000601:surgery; D007796:Laminectomy; D019547:Neck Pain / Q000209:etiology; D011859:Radiography; D020127:Recovery of Function; D012149:Restraint, Physical; D013117:Spinal Cord Compression / Q000209:etiology* / Q000601:surgery; D013123:Spinal Fusion / Q000295:instrumentation; D014143:Traction; D014399:Tuberculosis, Spinal / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery
chemical_list: D000995:Antitubercular Agents