• No Shinkei Geka · Jul 1996

    Case Reports

    [A case of atlanto-axial rotatory fixation associated with Jefferson's fracture].

    • M Kurimoto, S Endo, S Ikeda, R Masuda, A Takaku, and Y Horie.
    • Department of Neurosurgery, Toyama Medical and Pharmaceutical University.
    • No Shinkei Geka. 1996 Jul 1;24(7):671-4.

    AbstractThe authors present a case of atlanto-axial rotatory fixation associated with Jefferson's fracture. A 52-year-old man was admitted to our hospital complaining of severe neck pain and torticollis after a traffic accident. Cervical x-ray films showed fracture of the atlas. CT scans demonstrated traumatic subarachnoid hemorrhage and atlanto-axial rotatory fixation. The patient was managed with skull traction and reposition was achieved. Although he was maintained in a halo device for 4 months, rotary fixation recurred. He underwent posterior fusion between the atlas and axis. We review the literature and discuss the diagnostic problems and methods of treatment for atlanto-axial rotatory fixation.

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