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Child's Nervous System
Published in: Child's Nervous System 7/2016

01-07-2016 | Case Report

Traumatic atlantoaxial rotatory dislocation and displaced ossiculum terminale epiphysiolysis treated with a halo device: a case report

Authors: Jonas Walbom, Anders Kruse

Published in: Child's Nervous System | Issue 7/2016

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Abstract

Introduction

The horizontal synchondroses of the infant axis are biomechanical weak regions in trauma.

Case

We report the case of a 6-year-old girl who presented with delayed atlantoaxial dislocation and displaced ossiculum terminale epiphysiolysis after a fall from a tree.

Treatment

The patient was treated with halo traction for 3 days after which a CT scan showed normal position of the C1/C2 joint, and an acceptable position of the ossiculum terminale whereafter a halo brace was applied. Because of delayed union on CT scans, the treatment was prolonged to a total of 21 weeks.

Result

At final follow-up 26 months after halo brace removal, the patient demonstrated normal range of movement of the neck on clinical examination and radiographs of the cervical spine including lateral flexion/extension radiographs showed no sign of instability of the atlantoaxial joint.

Discussion

Conservative treatment with a halo device versus surgical treatment is discussed.
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Metadata
Title
Traumatic atlantoaxial rotatory dislocation and displaced ossiculum terminale epiphysiolysis treated with a halo device: a case report
Authors
Jonas Walbom
Anders Kruse
Publication date
01-07-2016
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 7/2016
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3025-2

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