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Long-term outcome of adult traumatic atlantoaxial rotatory fixation: a case series. | LitMetric

AI Article Synopsis

  • This case series examines five instances of adult atlantoaxial rotatory subluxation (AARS) due to trauma, highlighting treatment options and results.
  • The subjects included four Iranian males and one female, aged 25 to 46, with varying presentations that required different management strategies.
  • Initial conservative treatments were insufficient, leading to surgery, which resulted in significant symptom relief and improved function for all patients, demonstrating the effectiveness of surgical intervention.

Article Abstract

Background: This case series presents five cases of adult atlantoaxial rotatory subluxation (AARS) following traumatic events, focusing on treatment strategies and long-term outcomes.

Case Presentation: This paper includes four Iranian male patients and one Iranian female patient with ages ranging from 25 to 46 years old. Each case involved unique presentations and management approaches. Initial conservative treatments, including skull traction and orthoses, were attempted, but surgical intervention became necessary due to inadequate response. Surgical fixation significantly improved functional status and alleviated symptoms in all patients, leading to long-term relief. Radiological assessments demonstrated successful outcomes post-surgery.

Conclusions: This study underscores the importance of considering both conservative and surgical options in managing adult atlantoaxial rotatory subluxation to achieve optimal outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11468385PMC
http://dx.doi.org/10.1186/s13256-024-04748-0DOI Listing

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