Abstract:
OBJECTIVE:We sought to document our experience in managing a rare complex of traumatic posterolateral atlantoaxial dislocation combined with locked lateral mass and type II odontoid fracture. METHOD:A 30-year-old male patient was referred to the author's department. He complained of a decrease in neck range of motion following a traffic accident. Neurologic examination was normal. Computed tomography and open-mouth radiographs showed a type II odontoid fracture and a posterolateral dislocation with a laterally locked left lateral mass at the C1-C2 level. Considering the difficulty and risk in reduction, due to this rare instability and dislocation, a 2-staged treatment was performed. With up to 11 kg skull traction for 7 days before surgery, the locked lateral mass and the lateral dislocation was finally reduced without any neurologic deficit. And once closed reduction was confirmed by open-mouth and lateral X-ray views in the cervical spine, a second staged C1-C2 surgical fixation and fusion with iliac bone graft was performed to achieve a normal anatomic alignment with a better stability. RESULT:The patient showed significant amelioration of neck symptoms postoperatively, and a successful reduction and fixation of the C1-C2 articulation was achieved. At the 5-year follow-up, solid bone fusion was evident on the computed tomography scan. CONCLUSION:For traumatic posterolateral atlantoaxial dislocation complicated with type II odontoid fracture, a closed reduction of the lateral dislocation before operation is both useful and safe because surgeons do not need to reduce the extremely rare lateral dislocation during the operation. Posterior atlantoaxial stabilization and fusion, rather than the occipitocervical fusion as reported previously, is biomechanically stable enough to achieve solid fusion in this rare trauma while not sacrificing the occipitoatlantal joint.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Minyu Z,Shiyang W,Suraj C,Kelun H,Chaowei L,Honglin Tdoi
10.1016/j.wneu.2018.03.191subject
Has Abstractpub_date
2018-06-01 00:00:00pages
330-334eissn
1878-8750issn
1878-8769pii
S1878-8750(18)30673-9journal_volume
114pub_type
杂志文章abstract:OBJECTIVE:To report the comprehensive long-term functional and quality of life outcomes after craniectomy (CE) and craniotomy (CO) in individuals with traumatic brain injury (TBI). METHODS:Information on all individuals with TBI who had undergone CE or CO were extracted from the TBI Model Systems database from 2002 to...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.07.124
更新日期:2018-10-01 00:00:00
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journal_title:World neurosurgery
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journal_title:World neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.wneu.2019.03.250
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:We sought to analyze the clinical data and imaging features from a rare case presenting an intravertebral mobile nerve sheath tumor of the lumbar spine, review the relevant literature, discuss the imaging features and possible causes of the tumor, and propose preventive measures and solutions. CASE DESCRIPT...
journal_title:World neurosurgery
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更新日期:2020-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2019.04.106
更新日期:2019-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 历史文章,杂志文章
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更新日期:2010-04-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,多中心研究
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更新日期:2016-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-05-01 00:00:00
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doi:10.1016/j.wneu.2018.10.177
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pub_type: 杂志文章
doi:10.1016/j.wneu.2017.03.007
更新日期:2017-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2015.09.099
更新日期:2016-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-06-01 00:00:00
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更新日期:2019-07-01 00:00:00
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journal_title:World neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1016/j.surneu.2009.04.003
更新日期:2010-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2019.05.113
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2016.12.019
更新日期:2017-03-01 00:00:00
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更新日期:2021-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2017.11.017
更新日期:2018-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2011.02.013
更新日期:2013-01-01 00:00:00
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更新日期:2019-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2011.02.021
更新日期:2011-05-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2019-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2018.07.097
更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-12-01 00:00:00
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pub_type: 历史文章,杂志文章,评审
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更新日期:2018-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2020.02.172
更新日期:2020-06-01 00:00:00