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CASE REPORT
Year : 2019  |  Volume : 14  |  Issue : 4  |  Page : 1249-1252

Traumatic atlantoaxial dislocation with an odontoid fracture: A rare and potentially fatal injury


1 Department of Orthopedics and Traumatology, La Rabta Hospital; Department of Orthopedics and Traumatology, Faculté De Médecine De Tunis, Tunis Medical School, Tunis, Tunisia
2 Department of Orthopedics and Traumatology, Faculté De Médecine De Tunis, Tunis Medical School; Department of Radiology, Kassab Institute, Tunis, Tunisia

Correspondence Address:
Dr. Khaled Zitouna
Department of Orthopedics and Traumatology, La Rabta Hospital, 15 Rue Djebel Lakhdhar 1007, Tunis
Tunisia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_214_19

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Traumatic dislocation of the atlanto-axial joint in combination with an odontoid fracture remains a rare entity. Beaucause of its instability, it's alsoo a seriuous injury. A fatal outcome is feared especially in elderly. We report a case of 74-year-old man who presented with neck pain Confusion and spastic tetraparesia after a low energy trauma. Radiographs and computed tomography demonstrated a C1C2 dislocation with odontoid fracture. After an unsuccessful attempt at closed reduction with halo traction, a surgical stabilisation was performed using a posterior approach. Death was occured in early postoperative due to respiratory distress.


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