Torticollis and rotatory atlantoaxial dislocation: A clinical review

被引:28
作者
Goel, Atul [1 ]
机构
[1] KEM Hosp & Seth GS Med Coll, Dept Neurosurg, Mumbai 400012, Maharashtra, India
关键词
Atlantoaxial instability; basilar invagination; facetal locking; rotatory dislocation; FIXATION; REDUCTION; SUBLUXATION; MANAGEMENT; JOINT;
D O I
10.4103/jcvjs.JCVJS_40_19
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Rotatory atlantoaxial instability can manifest as an acute episode following subtle or minor injury or even following a gentle tap on head in young children and can manifest as a painless deformity of the head. Goel technique of direct surgical opening of the atlantoaxial facet joint, manual manipulation of the facets can lead to reduction of rotatory atlantoaxial dislocation and recovery from torticollis. Torticollis can be a protective natural phenomenon in response to atlantoaxial instability and related basilar invagination. Only atlantoaxial fixation can lead to immediate postoperative reduction of torticollis. Spasmodic torticollis related to muscle hyperactivity is unrelated to atlantoaxial instability.
引用
收藏
页码:77 / 87
页数:11
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