Spine · 1997
Traumatic vertical atlantoaxial instability in a case of atlanto-occipital coalition.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Weiner B K, Brower R S
Аннотация
STUDY DESIGN: This is a report of a woman with an atlanto-occipital coalition who experienced a traumatic vertical atlantoaxial facet dislocation and severe associated neurologic injury.
OBJECTIVE: To describe the radiographic and pathoanatomic characteristics of the injury process.
SUMMARY OF BACKGROUND DATA: Severe injuries of the occipito-atlantoaxial complex are uncommon and only rarely are associated with patient survival. This is the first report of this particular injury.
METHODS: Plain radiography and tomography demonstrated the facet dislocation and instability of the injury. Surgical exploration for repair of the torn dura mater and bony arthrodesis demonstrated the gross pathoanatomy.
RESULTS: The patient's vertical atlantoaxial instability was stabilized, her dura mater reconstructed, and her necrologic status has improved to allow mobilization with a cane.
CONCLUSION: Vertical atlantoaxial instability has not been described previously. From the somewhat subtle radiographic findings, one might underestimate the severity of the neurologic damage. Aggressive work-up and management of this injury is suggested to avoid potential further necrologic sequelae.
OBJECTIVE: To describe the radiographic and pathoanatomic characteristics of the injury process.
SUMMARY OF BACKGROUND DATA: Severe injuries of the occipito-atlantoaxial complex are uncommon and only rarely are associated with patient survival. This is the first report of this particular injury.
METHODS: Plain radiography and tomography demonstrated the facet dislocation and instability of the injury. Surgical exploration for repair of the torn dura mater and bony arthrodesis demonstrated the gross pathoanatomy.
RESULTS: The patient's vertical atlantoaxial instability was stabilized, her dura mater reconstructed, and her necrologic status has improved to allow mobilization with a cane.
CONCLUSION: Vertical atlantoaxial instability has not been described previously. From the somewhat subtle radiographic findings, one might underestimate the severity of the neurologic damage. Aggressive work-up and management of this injury is suggested to avoid potential further necrologic sequelae.