title: Traumatic atlantoaxial rotatory fixation associated with C2 articular facet fracture in adult patient: Case report.
abstract: Traumatic atlantoaxial rotatory fixation is a very rare injury in adults which is often misdiagnosed initially. Its combination with C2 fractures is predominated by dens lesions. Therapeutic management is challenging because of the difficulty to achieve optimal reduction and permanent stability. We report a rare case of traumatic atlantoaxial rotatory fixation in a 56-year-old women associated with C2 articular facet fracture successfully treated by conservative means after patient-awake manual reduction with optimal functional and radiographic outcome.
authors.affiliation: Department of Orthopedics and Traumatology, Charles Nicolle's Hospital, Tunis, Tunisia.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Bellil
authors.affiliation: Department of Orthopedics and Traumatology, Charles Nicolle's Hospital, Tunis, Tunisia.
authors.forename: Khaled
authors.initials: K
authors.lastname: Hadhri
authors.affiliation: Department of Orthopedics and Traumatology, Charles Nicolle's Hospital, Tunis, Tunisia.
authors.forename: Maamoun
authors.initials: M
authors.lastname: Sridi
authors.affiliation: Department of Orthopedics and Traumatology, Charles Nicolle's Hospital, Tunis, Tunisia.
authors.forename: Mondher
authors.initials: M
authors.lastname: Kooli
keywords: Atlantoaxial joint; cervical spine; injury; reduction; rotatory dislocation