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Traumatic Atlantoaxial Dislocation with Type II Odontoid Fractures: A Case Report
Authors:Aldhi Tri Budhi  Nasrullah  Andi Asadul Islam  Djoko Widodo  Willy Adhimarta  Andi Ihwan  Muhammad Faruk
Institution:1. Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia;2. Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Abstract:BackgroundOdontoid fracture frequently ensues after a cervical trauma, and most commonly at the junction between the dens and the body (type II odontoid fracture).Case PresentationThis report is focused on a 24-years-old male patient with right-sided hemiparesis, resulting from traumatic atlantoaxial dislocation with type II odontoid fracture. Cervical CT-scanning showed a spondylolisthesis of the C1-C2 complex with type II odontoid fracture, and the injury was treated using posterior reduction and internal stabilization. Therefore, hemiparesis was reduced, and during the follow-up period, our patients were disease-free.ConclusionEarly diagnosis and the appropriate management of atlantoaxial trauma is a possible approach towards preventing severe neurological deficits.
Keywords:Cervical spine injury  Odontoid fracture  Hemiparesis
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