Skip to main content
Erschienen in: Skeletal Radiology 7/2014

01.07.2014 | Case Report

Posterior atlantoaxial dislocation complicating odontoid fracture without neurologic deficit: a case report and review of the literature

verfasst von: Hao Meng, Yuan Gao, Mo Li, Zhuojing Luo, Junjie Du

Erschienen in: Skeletal Radiology | Ausgabe 7/2014

Einloggen, um Zugang zu erhalten

Abstract

Traumatic posterior atlantoaxial dislocation associated with odontoid fracture is extremely rare, with only eight cases reported thus far in the English literature. This report concerns a 47-year-old female who presented with considerable pain and stiffness in the neck without a neurologic deficit after injury due to a fall. Radiographs, computed tomography, and magnetic resonance imaging demonstrated a posterior dislocation of the atlas with respect to the axis with an odontoid fracture. No cord compression or intramedullary cord signal abnormalities were detected at the level of the atlantoaxial dislocation. A pedicle screw fixation/fusion was performed via a posterior approach following successful closed reduction.
Literatur
1.
Zurück zum Zitat Garber JN. Abnormalities of the atlas and axis vertebrae-congenital and traumatic. J Bone Joint Surg Am. 1964;46:1782–91.PubMed Garber JN. Abnormalities of the atlas and axis vertebrae-congenital and traumatic. J Bone Joint Surg Am. 1964;46:1782–91.PubMed
2.
Zurück zum Zitat Autricque A, Lesoin F, Villette L, Franz K, Pruvo JP, Jomin M. Fracture of the odontoid process and C1-C2 lateral luxation. Two cases. Ann Chir. 1986;40:397–400.PubMed Autricque A, Lesoin F, Villette L, Franz K, Pruvo JP, Jomin M. Fracture of the odontoid process and C1-C2 lateral luxation. Two cases. Ann Chir. 1986;40:397–400.PubMed
3.
Zurück zum Zitat Fuentes S, Bouillot P, Palombi O, Ducolombier A, Desgeorges M. Traumatic atlantoaxial rotatory dislocation with odontoid fracture: case report and review. Spine. 2001;26:830–4. Phila Pa 1976.PubMedCrossRef Fuentes S, Bouillot P, Palombi O, Ducolombier A, Desgeorges M. Traumatic atlantoaxial rotatory dislocation with odontoid fracture: case report and review. Spine. 2001;26:830–4. Phila Pa 1976.PubMedCrossRef
4.
Zurück zum Zitat Spoor AB, Diekerhof CH, Bonnet M, Oner FC. Traumatic complex dislocation of the atlantoaxial joint with odontoid and C2 superior articular facet fracture. Spine. 2008;33:E708–11. Phila Pa 1976.PubMedCrossRef Spoor AB, Diekerhof CH, Bonnet M, Oner FC. Traumatic complex dislocation of the atlantoaxial joint with odontoid and C2 superior articular facet fracture. Spine. 2008;33:E708–11. Phila Pa 1976.PubMedCrossRef
5.
Zurück zum Zitat Hopf S, Buchalla R, Elhöft H, Rubarth O, Borm W. Atypical dislocated dens fracture type II with rotational atlantoaxial luxation after a riding accident. Unfallchirurg. 2009;112:517–20.PubMedCrossRef Hopf S, Buchalla R, Elhöft H, Rubarth O, Borm W. Atypical dislocated dens fracture type II with rotational atlantoaxial luxation after a riding accident. Unfallchirurg. 2009;112:517–20.PubMedCrossRef
6.
Zurück zum Zitat Lenehan B, Guerin S, Street J, Poynton A. Lateral C1-C2 dislocation complicating a type II odontoid fracture. J Clin Neurosci. 2010;17:947–9.PubMedCrossRef Lenehan B, Guerin S, Street J, Poynton A. Lateral C1-C2 dislocation complicating a type II odontoid fracture. J Clin Neurosci. 2010;17:947–9.PubMedCrossRef
7.
Zurück zum Zitat Oh JY, Chough CK, Cho CB, Park HK. Traumatic atlantoaxial rotatory fixation with accompanying odontoid and C2 articular facet fracture. J Korean Neurosurg Soc. 2010;48:452–4.PubMedCentralPubMedCrossRef Oh JY, Chough CK, Cho CB, Park HK. Traumatic atlantoaxial rotatory fixation with accompanying odontoid and C2 articular facet fracture. J Korean Neurosurg Soc. 2010;48:452–4.PubMedCentralPubMedCrossRef
8.
Zurück zum Zitat Moreau PE, Nguyen V, Atallah A, Kassab G, Thiong’o MW, Laporte C. Traumatic atlantoaxial dislocation with odontoid fracture: a case report. Orthop Traumatol Surg Res. 2012;98:613–7.PubMedCrossRef Moreau PE, Nguyen V, Atallah A, Kassab G, Thiong’o MW, Laporte C. Traumatic atlantoaxial dislocation with odontoid fracture: a case report. Orthop Traumatol Surg Res. 2012;98:613–7.PubMedCrossRef
9.
Zurück zum Zitat Anderson LD, D’Alonzo RT. Fractures of the odontoid process of the axis. J Bone Joint Surg Am. 1974;56:1663–74.PubMed Anderson LD, D’Alonzo RT. Fractures of the odontoid process of the axis. J Bone Joint Surg Am. 1974;56:1663–74.PubMed
10.
Zurück zum Zitat Fielding JW, Hawkins RJ. Atlantoaxial rotatory fixation (Fixed rotatory subluxation of the atlantoaxial joint). J Bone Joint Surg Am. 1977;59:37–44.PubMed Fielding JW, Hawkins RJ. Atlantoaxial rotatory fixation (Fixed rotatory subluxation of the atlantoaxial joint). J Bone Joint Surg Am. 1977;59:37–44.PubMed
11.
Zurück zum Zitat Bohlman HH. Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature. J Bone Joint Surg Am. 1979;61:1119–42.PubMed Bohlman HH. Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature. J Bone Joint Surg Am. 1979;61:1119–42.PubMed
12.
Zurück zum Zitat Carroll EA, Gordon B, Sweeney CA, Joy S, Connolly PJ. Traumatic atlantoaxial distraction injury: a case report. Spine. 2001;26:454–7. Phila Pa 1976.PubMedCrossRef Carroll EA, Gordon B, Sweeney CA, Joy S, Connolly PJ. Traumatic atlantoaxial distraction injury: a case report. Spine. 2001;26:454–7. Phila Pa 1976.PubMedCrossRef
13.
Zurück zum Zitat Gleizes V, Jacquot FP, Signoret F, Feron JM. Combined injuries in the upper cervical spine: clinical and epidemiological data over a 14-year period. Eur Spine J. 2000;9:386–92.PubMedCentralPubMedCrossRef Gleizes V, Jacquot FP, Signoret F, Feron JM. Combined injuries in the upper cervical spine: clinical and epidemiological data over a 14-year period. Eur Spine J. 2000;9:386–92.PubMedCentralPubMedCrossRef
14.
Zurück zum Zitat Silbergeld DL, Laohaprasit V, Grady MS, Anderson PA, Winn HR. Two cases of fatal atlantoaxial distraction injury without fracture or rotation. Surg Neurol. 1991;35:54–6.PubMedCrossRef Silbergeld DL, Laohaprasit V, Grady MS, Anderson PA, Winn HR. Two cases of fatal atlantoaxial distraction injury without fracture or rotation. Surg Neurol. 1991;35:54–6.PubMedCrossRef
15.
Zurück zum Zitat Myamoto H, Doita M, Nishida K, et al. Traumatic anterior atlantoaxial subluxation occurring in a professional rugby athlete. Case report and review of literature related tot atlantoaxial injuries in sports activities. Spine. 2004;29:E61–4. Phila Pa 1976.CrossRef Myamoto H, Doita M, Nishida K, et al. Traumatic anterior atlantoaxial subluxation occurring in a professional rugby athlete. Case report and review of literature related tot atlantoaxial injuries in sports activities. Spine. 2004;29:E61–4. Phila Pa 1976.CrossRef
16.
Zurück zum Zitat Steel HH. Anatomical and mechanical consideration of the atlantoaxial articulation. J Bone Joint Surg Am. 1968;50:1481–2. Steel HH. Anatomical and mechanical consideration of the atlantoaxial articulation. J Bone Joint Surg Am. 1968;50:1481–2.
17.
Zurück zum Zitat Ellis GL. Imaging of the atlas (C1) and axis (C2). Emerg Med Clin North Am. 1991;9:719–32.PubMed Ellis GL. Imaging of the atlas (C1) and axis (C2). Emerg Med Clin North Am. 1991;9:719–32.PubMed
18.
Zurück zum Zitat Apfelbaum RI. Anterior screw fixation of odontoid fractures. In: Camins MB, O’Leary PF, editors. Diseases of the cervical spine. Baltimore: Williams and Wilkins; 1992. p. 603–8. Apfelbaum RI. Anterior screw fixation of odontoid fractures. In: Camins MB, O’Leary PF, editors. Diseases of the cervical spine. Baltimore: Williams and Wilkins; 1992. p. 603–8.
19.
Zurück zum Zitat Gallie WE. Fractures and dislocations of the cervical spine. Am J Surg. 1939;3:495–9.CrossRef Gallie WE. Fractures and dislocations of the cervical spine. Am J Surg. 1939;3:495–9.CrossRef
20.
Zurück zum Zitat Brooks AL, Jenkins EB. Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg Am. 1978;60-A:279–84. Brooks AL, Jenkins EB. Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg Am. 1978;60-A:279–84.
21.
Zurück zum Zitat Lapsiwala SB, Anderson PA, Oza A, Resnick DK. Biomechanical comparison of four C1 to C2 rigid fixative technique: anterior transarticular, posterior transarticular, C1 to C2 pedicle, and C1 to C2 intralaminar screws. Neurosurgery. 2006;58:516–21.PubMedCrossRef Lapsiwala SB, Anderson PA, Oza A, Resnick DK. Biomechanical comparison of four C1 to C2 rigid fixative technique: anterior transarticular, posterior transarticular, C1 to C2 pedicle, and C1 to C2 intralaminar screws. Neurosurgery. 2006;58:516–21.PubMedCrossRef
22.
Zurück zum Zitat Dailey AT, Hart D, Finn MA, Schmidt MH, Apfelbaum RI. Anterior fixation of odentoid fractures in an elderly population. J Neurosurg Spine. 2010;12:1–8.PubMedCrossRef Dailey AT, Hart D, Finn MA, Schmidt MH, Apfelbaum RI. Anterior fixation of odentoid fractures in an elderly population. J Neurosurg Spine. 2010;12:1–8.PubMedCrossRef
Metadaten
Titel
Posterior atlantoaxial dislocation complicating odontoid fracture without neurologic deficit: a case report and review of the literature
verfasst von
Hao Meng
Yuan Gao
Mo Li
Zhuojing Luo
Junjie Du
Publikationsdatum
01.07.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 7/2014
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-013-1809-y

Weitere Artikel der Ausgabe 7/2014

Skeletal Radiology 7/2014 Zur Ausgabe

Browser's Notes

Browser’s notes

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.