A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

PMID- 29595654
DCOM- 20180411
LR  - 20180411
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 13
DP  - 2018 Mar
TI  - Traumatic C1-2 rotatory subluxation with dens and bilateral articular facet
      fractures of C2: A case report.
PG  - e0189
LID - 10.1097/MD.0000000000010189 [doi]
AB  - RATIONALE: To the best of our knowledge, this is an extremely rare case of
      traumatic C1-2 rotatory subluxation associated with multiple C2 fractures.
      PATIENT CONCERNS: We report the case of a 63-year-old man with type 2 traumatic
      C1-2 rotatory subluxation (Fielding and Hawkins classification) associated with
      type III dens (Anderson and D'Alonzo classification) and bilateral articular
      facet fractures of C2. This injury occurred as a result of falling down in a
      drunken state. The patient complained of neck pain and mild degree of torticollis
      but did not show any neurologic abnormalities. DIAGNOSES: Plain radiographs of
      cervical spine showed extensive soft tissue swelling, a fracture fragment,
      disruption of spinolaminar line at C1-2 level, and bony overlapping of right side
      lateral joint of C1-2. Two- and three-dimensional reconstructed computed
      tomography scans clearly demonstrated complicated C1-2 combined injury. The
      atlantodental interval was normal. INTERVENTION: By skull traction and
      derotation, closed reduction of C1-2 rotatory subluxation with a type III dens
      and bilateral articular facet fractures of C2 was successfully achieved. He was
      managed with halovest fixation for 3 months. OUTCOMES: At the 1-year follow-up
      visit solid fusion and improvement of clinical symptoms were achieved without
      C1-2 instability. LESSONS: Despite traumatic C1-2 rotatory subluxation associated
      with multiple C2 fractures, trial of closed reduction should be considered as the
      first choice of treatment so as to preserve C1-2 motion.
FAU - Chang, Dong-Gune
AU  - Chang DG
AD  - Department of Orthopaedic Surgery, Sanggye Paik Hospital, College of Medicine,
      Inje University.
FAU - Park, Jong-Beom
AU  - Park JB
FAU - Jang, Hyuk-Jin
AU  - Jang HJ
AD  - Department of Orthopaedic Surgery, College of Medicine, The Catholic University
      of Korea, Seoul, Republic of Korea.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Accidental Falls
MH  - Alcoholic Intoxication
MH  - *Cervical Vertebrae
MH  - Fractures, Multiple
MH  - Humans
MH  - Joint Dislocations/diagnosis/*pathology/therapy
MH  - Male
MH  - Middle Aged
MH  - Spinal Fractures/diagnosis/*pathology/therapy
EDAT- 2018/03/30 06:00
MHDA- 2018/04/12 06:00
CRDT- 2018/03/30 06:00
PHST- 2018/03/30 06:00 [entrez]
PHST- 2018/03/30 06:00 [pubmed]
PHST- 2018/04/12 06:00 [medline]
AID - 10.1097/MD.0000000000010189 [doi]
AID - 00005792-201803300-00027 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Mar;97(13):e0189. doi: 10.1097/MD.0000000000010189.