Atlantoaxial Rotatory Subluxation after Removal of a Ventriculoperitoneal Shunt in the Supine-Lateral Position.

Abstract:

:Atlantoaxial rotatory subluxation (AARS) is an uncommon disease with a greater prevalence in children than adults. So far there has only been one report of AARS after surgery related to ventriculoperitoneal (VP) shunting. We present a new case of AARS closed reduction treatment after VP shunt removal in an 8-year-old girl with wound pain on the back of her head and torticollis after surgery. Her head was rotated in the spine-lateral position during surgery. The diagnosis of AARS was established by 3D-computed tomography. The rotatory subluxation was cured after cervical traction therapy. The successful closed reduction was the consequence of early detection and conservative treatment, which are important constituents in the management of AARS.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Hashide S,Aihara Y,Nagahara A,Mitsuyama T,Okada Y

doi

10.1159/000433601

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

229-32

issue

4

eissn

1016-2291

issn

1423-0305

pii

000433601

journal_volume

50

pub_type

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