J Korean Neurosurg Soc.  2010 Nov;48(5):452-454. 10.3340/jkns.2010.48.5.452.

Traumatic Atlantoaxial Rotatory Fixation with Accompanying Odontoid and C2 Articular Facet Fracture

Affiliations
  • 1Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. chough@catholic.ac.kr
  • 2Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Korea.

Abstract

Traumatic atlantoaxial rotatory fixation (AARF) with accompanying odontoid and C2 articular facet fracture is a very rare injury, and only one such case has been reported in the medical literature. We present here a case of a traumatic AARF associated with an odontoid and comminuted C2 articular facet fracture, and this was treated with skull traction and halo-vest immobilization for 3 months. After removal of the halo-vest immobilization, his neck pain was improved and his neck motion was preserved without any neurologic deficits although mild torticolis was still observed in closer inspection.

Keyword

Atlantoaxial rotatory fixation; Odontoid fracture

MeSH Terms

Immobilization
Neck
Neck Pain
Neurologic Manifestations
Skull
Traction
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