Poster 195: Posttraumatic Atlanto‐Axial Rotatory Fixation in an Adult Presenting as Torticollis

Dholakia, Amit; Broyer, Zach

doi:10.1016/j.pmrj.2010.07.225

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2021

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“…In children, immobilization with a flexible collar for 6 weeks is sufficient, in adults; rigid cervical immobilization is recommended by the Halo vest for 2 to 3 months. In some cases, a rigid cervical collar could be used in place of the Halo vest with good outcomes [11]. In our series, the immobilization by a rigid cervical collar has been successfully used in 4 cases whereas failure of conservative treatment was noted in only one case immobilized by Halo vest.…”

Section: Discussionmentioning

confidence: 64%

Traumatic Atlantoaxial Rotatory Dislocation in Adult: Report of 10 Cases

Boukoucha¹,

Chérif²,

Loukil³

et al. 2021

austinjorthopaderheumatol

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The AARD is related to an extreme rotation of the cervicaloccipital hinge following an accidental distraction of the spine. It often occurs in children related to ligament laxity of the cranio-spinal junction. It is rarely encountered in adults, in general, in a context of violent trauma causing a ligament injury. Only about 20 cases have been reported in the literature [1]. The particularity of this entity is its purely rotatory mechanism, which is often without an associated bone fracture. A situation that can make diagnosis difficult and require a trained physician for clinical and radiological diagnosis. The purpose of this review is to help the young orthopedics and radiologists understand this entity, become familiar with the imaging appearance in CT and discuss patient care procedures.

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Section: Discussionmentioning

confidence: 64%