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Non-instrumented management of traumatic atlanto-axial rotatory subluxation: surgical technique.
J Spine Surg
December 2024
Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Atlantoaxial rotatory subluxation (AARS) in the adult population is primarily trauma-induced. Conservative and surgical treatments have both been used successfully in treating AARS. In cases where AARS cannot be reduced by conservative measures, open reduction and fusion is the conventional treatment approach.
View Article and Find Full Text PDFUnusual Upper Cervical Spine Disorder and Non-traumatic Atlantoaxial Rotatory Fixation in an Adult: A Case Report.
Cureus
December 2024
Department of Orthopedic Surgery, Fujimi-Kogen Hospital, Fujimi-Kogen Medical Center, Fujimi, JPN.
This study reports on an extremely rare case of non-traumatic atlantoaxial rotatory fixation (AARF) in an adult. Although there are numerous reports on traumatic AARF in adults, those on non-traumatic AARFs are limited. We present the case of a 25-year-old woman who developed neck pain with a limited range of motion (ROM) that began upon waking without any particular inducement.
View Article and Find Full Text PDFA Case Report of Grisel's Syndrome Complicating the Postoperative Course of Craniotomy for a Massive Cystic Brain Lesion.
Cureus
November 2024
Neurosurgery, King Hamad University Hospital, Busaiteen, BHR.
This report presents the case of a seven-year-old child diagnosed with Grisel's syndrome following a craniotomy for a cystic brain lesion. The patient initially presented with persistent, progressively worsening headaches that coincided with neurological symptoms. Imaging revealed a massive cystic lesion causing a significant compression and midline shift.
View Article and Find Full Text PDFTorticollis in incomplete Kawasaki disease: a case of atlantoaxial rotatory fixation.
BJR Case Rep
November 2024
Department of Orthopaedic Surgery, Tokyo Metropolitan Toshima Hospital, Tokyo 173-0015, Japan.
Various respiratory, musculoskeletal, gastrointestinal, neurological, and urinary complications have been reported in Kawasaki disease. Here, we describe a rare case of atlantoaxial rotatory fixation (AARF) associated with incomplete Kawasaki disease. The case is of a healthy 4-year-old Japanese boy who had a high-grade fever, lymphadenopathy, and torticollis diagnosed with incomplete Kawasaki disease.
View Article and Find Full Text PDFComparison of Glisson traction, soft or rigid cervical collars for the treatment of acute atlantoaxial rotatory subluxation in children: a retrospective study.
Sci Rep
October 2024
Department of Orthopaedic Surgery, Henan Children's Hospital, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Children's Hospital, Zhengzhou, Henan, China.
Article Synopsis
- The study analyzed the effectiveness of three conservative therapies—Glisson traction, soft cervical collar, and rigid cervical collar—in treating children with acute atlantoaxial rotatory subluxation over a 5-year period.
- Success rates at the end of treatment were high across all groups: Glisson traction (94.59%), soft collar (83.64%), and rigid collar (92.31%), with no significant differences among them.
- Overall scores for clinical outcomes were similar, with no significant variations, suggesting that while all therapies are effective, cervical collars are preferred for outpatient use and rigid collars may offer better immobilization.
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