Atlantoaxial subluxation in an adult secondary to retropharyngeal abscess

被引:7
作者
Morita, T [1 ]
Fujiki, N
Shiomi, Y
Kurata, K
Oda, N
机构
[1] Kyoto Univ Hosp, Dept Otolaryngol, Sakyo Ku, Kyoto 6068507, Japan
[2] Matsue Municipal Hosp, Dept Otolaryngol, Matsue, Shimane 6908509, Japan
关键词
atlantoaxial subluxation; retropharyngeal abscess; adults;
D O I
10.1016/S0385-8146(00)00101-2
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Atlantoaxial subluxation secondary to a retropharyngeal abscess is well described in children, but very rare in adults. Only two adult cases have been reported in the literature. We present a case of severe atlantoaxial subluxation in an adult secondary to retropharyngeal abscess. His atlas-dens interval was very large, up to 10 mn in flexion. We tried external fixation with a neck collar initially. but for remaining instability, surgical fusion R as performed. The mechanism of subluxation is attributed to softening of the ligament allowing greater mobility at the joint. The etiology of this process is speculative. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:177 / 179
页数:3
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