Email this article A case of successful treatment of chronic transdental dislocation of the atlas using a halo device
- Authors: Vetrila S.T.1, Kolesov S.V.1
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Affiliations:
- Central Institute of Traumatology and Orthopedics named after N.N. Priorov
- Issue: Vol 2, No 1-2 (1995)
- Pages: 52-54
- Section: From Practical Experience
- URL: https://journal-vniispk.ru/0869-8678/article/view/99597
- DOI: https://doi.org/10.17816/vto99597
- ID: 99597
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Abstract
Chronic transdental dislocations of the atlas are among the most severe spinal injuries. In this area, the vertebral arteries, spinal cord, cranial nerves are in close contact. According to the literature [3], severe neurological symptoms develop in 25% of cases with fractures of the C2 odontoid process.
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##article.viewOnOriginalSite##About the authors
S. T. Vetrila
Central Institute of Traumatology and Orthopedics named after N.N. Priorov
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow
S. V. Kolesov
Central Institute of Traumatology and Orthopedics named after N.N. Priorov
Email: info@eco-vector.com
Russian Federation, Moscow
References
- Луцик А.А. Вертеброгенные шейные миелопатии и их нейрохирургическое лечение: Автореф. дис. ... д-ра мед. наук. — М., 1979.
- Цивьян Я.Л. Хирургия позвоночника. — М., 1966.
- Della Т., Rinonapoli Е. //Int. Orthop. — 1992. — Vol. 16, N 3. — Р. 227—231.
- Heggens М., Doherty В. //Spine. — 1993. — Vol. 18., N 14. — P. 1945—1949.
- McCleary A. //Ibid. — 1993. — Vol. 18, N 17. — P. 932— 935.
- Starr J., Eismont F. //Ibid. — 1994. — Vol. 18, N 14. — P. 1954—1957.
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Radiographs of the cervical spine of patient G. a — on admission: fracture of the C2 odontoid process with displacement of the fragments over the entire diameter; b — the cervical region is fixed in a halo apparatus, an additional wire is passed through the C2 spinous process, complete reposition is achieved; c — after 3 months: complete consolidation of the fracture was achieved; (d) X-ray taken through the mouth: a massive callus is clearly visible.
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