Adult traumatic atlantoaxial rotatory fixation: a case report.
We presented a very rare case of adult Fielding type I atlantoaxial rotatory fixation (AARF). We performed awake manual reduction of the dislocation without need for anesthesia, achieving excellent outcomes, and no previous reports have described awake reduction without the need for anesthesia. AARF in this case was attributed to excessive extension and rotation forces applied to the cervical spine. For the management of adult Fielding type I AARF, early diagnosis and early reduction may lead to excellent outcomes.
Department of Spinal Surgery and Medical Engineering, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan ; Department of Orthopaedic Surgery, University of Medicine, Mandalay, Myanmar.
Zaw
Z
Min Han
Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Japan.
Nobuto
0000-0002-0675-7624
N
Nagao
Department of Spinal Surgery and Medical Engineering, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.
Toshihiko
0000-0003-0942-2237
T
Sakakibara
Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Japan.
Koji
K
Akeda
Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Japan.
Takao
T
Matsubara
Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Japan.
Akihiro
0000-0003-0474-4368
A
Sudo
Department of Spinal Surgery and Medical Engineering, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.
Yuichi
0000-0003-0578-8602
Y
Kasai