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

Jeszenszky, Dezsoe and Fekete, Tamas and Kleinstueck, Frank and Haschtmann, Daniel and Loibl, Markus (2018) Transoral Closed Reduction of Fixed Atlanto-Axial Rotatory-Subluxation (AARS) in Childhood and Adolescence. CLINICAL SPINE SURGERY, 31 (5). E252-E256. ISSN 2380-0186,

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Abstract

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.

Item Type: Article
Uncontrolled Keywords: PEDIATRIC CERVICAL-SPINE; INJURIES; CHILDREN; atlanto-axial rotatory-subluxation; atlanto-axial rotatory-fixation; closed reduction; pediatric cervical spine injury; Grisel's syndrome
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Unfallchirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 10 Mar 2020 12:36
Last Modified: 10 Mar 2020 12:36
URI: https://pred.uni-regensburg.de/id/eprint/14510

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