Atlanto-axial dislocation in acute rheumatic fever. Case report.

Abstract:

:A 10-year-old boy had a sore throat, followed in 4 weeks by acute rheumatic fever and in 6 weeks by atlanto-axial dislocation. Reduction of the dislocation by means of a halo vest relieved his pain, but the cervical spine remained unstable after 3 months of immobilization and required an occiput-C1-2 fusion and rib graft to stabilize the atlanto-axial joint. This is the eighth reported case of atlanto-axial dislocation associated with acute rheumatic fever. The features of previous cases are summarized and the clinical aspects, mechanisms, diagnosis, and treatment of atlanto-axial dislocation are reviewed.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Bicknell JM,Kirsch WM,Seigel R,Orrison W

doi

10.3171/jns.1987.66.2.0286

subject

Has Abstract

pub_date

1987-02-01 00:00:00

pages

286-9

issue

2

eissn

0022-3085

issn

1933-0693

journal_volume

66

pub_type

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