• Spine · Sep 2008

    Case Reports

    Traumatic complex dislocation of the atlanto-axial joint with odontoid and C2 superior articular facet fracture.

    • Andy B Spoor, Carel H Diekerhof, Michel Bonnet, and F Cumhur Oner.
    • St Elisabeth Hospital Tilburg, Department of Orthopedic Surgery, Hilvarenbeekseweg, GC Tilburg. andyspoor@gmail.com
    • Spine. 2008 Sep 1; 33 (19): E708-11.

    Study DesignCase report and clinical discussion.ObjectiveWe intend to report a unique case of a atlantoaxial dislocation with a odontoid and C2 superior articular facet fracture.Summary Of Background DataTraumatic dislocation of the atlantoaxial joint in combination with a C2 fracture is a rare injury. Only 5 cases have been reported in the literature.MethodsWe present a case of a 43-year-old man with a primary atlantoaxial complex dislocation associated with an odontoid and comminuted C2 superior articular facet fracture with complete recovery of an accompanying hemiplegia after reduction.ResultsThe patient underwent gentle traction with a halo frame until a complete reduction was achieved within 3 days, after which a vest was installed. His neurologic status improved to a slight weakness of the right shoulder in abduction (Grade 4/5) after 4 months and his C2 fracture healed in an acceptable position.ConclusionTo our knowledge, this is the first case of a traumatic atlantoaxial rotatory dislocation with accompanying odontoid and C2 superior articular facet fracture.

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