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- Title
Traumatic atlantoaxial rotatory dislocation and displaced ossiculum terminale epiphysiolysis treated with a halo device: a case report.
- Authors
Walbom, Jonas; Kruse, Anders
- Abstract
Introduction: The horizontal synchondroses of the infant axis are biomechanical weak regions in trauma. Case: We report the case of a 6-year-old girl who presented with delayed atlantoaxial dislocation and displaced ossiculum terminale epiphysiolysis after a fall from a tree. Treatment: The patient was treated with halo traction for 3 days after which a CT scan showed normal position of the C1/C2 joint, and an acceptable position of the ossiculum terminale whereafter a halo brace was applied. Because of delayed union on CT scans, the treatment was prolonged to a total of 21 weeks. Result: At final follow-up 26 months after halo brace removal, the patient demonstrated normal range of movement of the neck on clinical examination and radiographs of the cervical spine including lateral flexion/extension radiographs showed no sign of instability of the atlantoaxial joint. Discussion: Conservative treatment with a halo device versus surgical treatment is discussed.
- Subjects
EPIPHYSIOLYSIS; CERVICAL vertebrae radiography; CERVICAL vertebrae diseases; JOINT dislocations; JOINT surgery; THERAPEUTICS
- Publication
Child's Nervous System, 2016, Vol 32, Issue 7, p1321
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-016-3025-2