alexa Traumatic Pediatric Atlantoaxial Rotatory Subluxation Successfully Reduced and Discharged from the Emergency Department: A Case Report
ISSN: 2165-7939

Journal of Spine
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Case Report

Traumatic Pediatric Atlantoaxial Rotatory Subluxation Successfully Reduced and Discharged from the Emergency Department: A Case Report

Kinon Merritt D1*, Rani Nasser1, Nakhla Jonathan P1, Yassari Reza1, Desai Rupen2and Bagley Carlos A3
1Montefiore Medical Center/Albert Einstein College of Medicine, Department of Neurosurgery, Bronx, NY, USA
2Duke University School of Medicine, Durham, NC, USA
3University of Texas Southwestern Medical Center, Department of Neurosurgery, Dallas, TX, USA
Corresponding Author : Merritt D. Kinon
MD, Montefiore Medical Center/ Albert Einstein
College of Medicine Department of Neurosurgery
3316 Rochambeau Ave Bronx
NY 10467, USA
Tel:
(718) 920-7400
Fax:
(718) 584-0224
E-mail:
[email protected]
Received October 02, 2015; Accepted November 20, 2015; Published November 23, 2015
Citation:Merritt K, Nasser R, Jonathan N, Reza Y, Rupen D, et al. (2015) Traumatic Pediatric Atlantoaxial Rotatory Subluxation Successfully Reduced and Discharged from the Emergency Department: A Case Report. J Spine S6:005. doi:10.4172/2165-7939.S6-005
Copyright: © 2015 Merritt K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

The incidence of atlantoaxial rotatory subluxation is fairly uncommon; however it is more common to be encountered in the pediatric population. It is usually seen in children after a retropharyngeal inflammation or after a minor trauma. Children have unique anatomical features such as inherent ligamentous laxity and shallower and more horizontally oriented facet joints that allow greater freedom of motion especially at the C1-2 joint making them prone to atlantoaxial subluxation. If recognized early it can be successfully managed nonsurgically before chronic inflammatory changes affect the ligaments and joint structure of the C1-2 complex. However, it is unclear in the literature if inpatient admission is necessary for treatment. Here we present a case of atlantoaxial rotatory subluxation in a child caused by forcefully throwing a ball that was successfully reduced and subsequently discharge from the pediatric emergency department all in the same visit.

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