Case Report

Adult Traumatic Atlantoaxial Rotatory Fixation: A Case Report

Table 1

Reported cases with adult atlantoaxial rotatory fixation in the literature.

AuthorAge and sexMechanismFielding typeAssociated injuriesDuration to diagnosisReduction method and treatmentResults

Castel et al., 2001 [4]41 MRugby injuryI(—)1 monthReduction and Minerva jacketGood

Fuentes et al., 2001 [5]24 MSuicidal jumpIVInitial odontoid fracture only1 monthC1-C2 fusionUnknown

Kim et al., 2007 [8]34 MFall down from high placeIILt superior facet fracture of C21 dayC1-C2 fusionGood

Sinigaglia et al., 2008 [11]26 FRoad traffic accident  I(—)45 daysReduction and halo vestFair; because of cervical stiffness and headache
21 FRoad traffic accidentI(—)1 dayReduction and halo vestGood
29 MRoad traffic accidentI(—)1 dayReduction and rigid collarGood

Wang et al., 2008 [14]44 FNot describedI(—)6 monthsImmobilization with halo vestPoor; because of bilateral hand numbness

Goel et al., 2010 [6]28 MFall down from high placeNot describedOdontoid fracture1 dayIntraoperative facet manipulationGood

Singh et al., 2009 [10]25 FRoad traffic accidentI(—)0 daySkull traction and halo braceGood

Jeon et al., 2009 [7]25 FRoad traffic accidentIThoracic fractures, alar ligament injury5 daysImmobilization with Philadelphia braceGood

Stenson, 2011 [12]31 FFalling backwardI(—)0 dayImmobilization with hard collarGood

Marti et al., 2011 [9]24 FStretching neck herselfI(—)1 dayReduction and halo vestGood

Venkatesan et al., 2012 [13]20 FRoad traffic accidentI(—)0 daySkull traction and hard collarFair; because of occipital pain
52 FRoad traffic accidentI(—)0 dayHalo traction and hard collarFair; because of occipital pain