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A case of atlanto-axial rotatory fixation associated with Jefferson's fracture Masanori KURIMOTO 1 , Syunro ENDO 1 , Syuji IKEDA 1 , Ryoichi MASUDA 1 , Akira TAKAKU 1 , Yukio HORIE 2 1Department of Neurosurgery, Toyama Medical and Pharmaceutical University 2Department of Neurosurgery, Toyama Saiseikai Hospital Keyword: atlanto-axial rotatory fixation , Jefferson's fracture pp.671-674
Published Date 1996/7/10
DOI https://doi.org/10.11477/mf.1436901247
  • Abstract
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The authors present a case of atlanto-axial rotatory fixation associated with Jefferson's fracture. A 52-year-old man was admitted to our hospital complaining of severe neck pain and torticollis after a traffic accident. Cervical x-ray films showed fracture of the atlas. CT scans demonstrated traumatic subarachnoid hemor-rhage and atlanto-axial rotatory fixation. The patient was managed with skull traction and reposition was achieved. Although he was maintained in a halo device for 4 months, rotary fixation recurred. He underwent posterior fusion between the atlas and axis.

We review the literature and discuss the diagnostic problems and methods of treatment for atlanto-axial rotatory fixation.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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