{"id":"560db50d-7776-4534-8e57-bb2b073fef56","slug":"traumatic-atlantoaxial-rotatory-subluxation-in-adults-a-case-report-and-literature-review","title":"Traumatic atlantoaxial rotatory subluxation in adults – A case report and literature review","authors":["Hugo Layard Horsfall","Aref-Ali Gharooni","Alaa Al-Mousa","Anan Shtaya","Erlick Pereira"],"abstract":"Background: Traumatic atlantoaxial rotatory subluxation (AARS) is extremely rare in adult versus pediatric populations. Patients usually present with post-traumatic neck pain and torticollis. Surgical management aims at reducing the deformity and stabilizing the spine utilizing external orthotics, and/or internal reduction/fixation. Methods: A 65-year-old female fell downstairs at home. She complained of neck pain with right-sided tenderness and torticollis. The radiographic studies and CT scan demonstrated AARS. This led to an emergent open reduction with internal fixation at the C1-C2 level. Results: We identified 25 similar cases of AARS in the English literature. Patients averaged 28.7 years of age and mostly sustained motor vehicle accidents largely treated with traction/orthotics; only six patients required surgical open reduction/internal fixation. Conclusion: In this case, the patient’s C1-C2 deformity required open reduction/internal fixation rather than bracing alone.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/560db50d-7776-4534-8e57-bb2b073fef56/featured/hero-1781563009197.png","publishDate":"2020-11-06T00:00:00.000Z","doi":"10.25259/SNI_671_2020","categories":["Spine","Review Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/11/10373/SNI-11-376.pdf"}