Odontoid Fracture with Locked Posterolateral Atlantoaxial Dislocation: A Case Report and Review of Literature.

Q4 Medicine

JBJS case connector Pub Date : 2024-09-13 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00187

R Dinesh Iyer, Mengitsu G Mengesha, Ajoy Prasad Shetty, Shanmuganathan Rajasekaran

引用次数: 0

Abstract

Case: Odontoid fractures with atlantoaxial dislocations are rare injuries. We report a case of a 41-year-old man with a Type 2 odontoid fracture with locket facet and posterolateral dislocation. He underwent single-stage C1-C4 posterior fixation and fusion, and at 2-year follow-up, he is symptom-free without any residual pain. Follow-up radiograph and CT scan show healed odontoid fracture with posterior fusion.

Conclusion: This case highlights successful management of a complex odontoid fracture by a single-stage posterior surgery. Closed reduction is usually unsuccessful, and open reduction using posterior approach is preferable.

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舌骨骨折伴锁定性后外侧寰枢椎脱位：病例报告和文献综述。

病例蝶骨骨折伴寰枢关节脱位是一种罕见的损伤。我们报告了一例 41 岁男子的 2 型蝶骨骨折伴锁骨面和后外侧脱位。他接受了单阶段 C1-C4 后路固定和融合术，随访 2 年无症状，无任何残余疼痛。随访X光片和CT扫描显示，蝶骨骨折愈合，后路融合：本病例强调了通过单阶段后路手术成功治疗复杂蝶骨骨折的重要性。闭合复位通常不成功，最好采用后路开放复位。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.