Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence

被引：12

作者：

Jeszenszky, Dezsoe ^{[1
]}

Fekete, Tamas ^{[1
]}

Kleinstueck, Frank ^{[1
]}

Haschtmann, Daniel ^{[1
]}

Loibl, Markus ^{[1
,2
]}

机构：

[1] Schulthess Clin, Spine Ctr, Zurich, Switzerland

[2] Regensburg Univ, Dept Trauma Surg, Med Ctr, Regensburg, Germany

来源：

CLINICAL SPINE SURGERY | 2018年 / 31卷 / 05期

关键词：

atlanto-axial rotatory-subluxation; atlanto-axial rotatory-fixation; closed reduction; pediatric cervical spine injury; Grisel's syndrome; PEDIATRIC CERVICAL-SPINE; INJURIES;

D O I：

10.1097/BSD.0000000000000563

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Atlanto-axial rotatory-subluxation (AARS) is the most common pediatric cervical spine injury. Patients usually present with contralateral rotation and inclination of the upper cervical spine after minor trauma, or associated with an infection of the upper respiratory tract. According to the authors, initial management of patients with acute and chronic AARS type I-II should comprise closed reduction and immobilization with a cervical collar or a Halo-Body-Jacket. Surgical options of open reduction or C1/2 fusion should be restricted to irreducible or recurrent subluxations. This paper reviews the detailed technique of transoral closed reduction of AARS, as well as the preoperative and postoperative considerations.

引用

页码：E252 / E256

页数：5

共 7 条

[1] Pediatric Cervical Spine Injuries A Rare But Challenging Entity [J].