Nontraumatic atlantoaxial rotatory subluxation in adults: Report of two cases

Xiaochun Zhao; Kiana Y. Prather; José M. Orenday-Barraza; Fauziyya Y. Muhammad; Lance M. Villeneuve; María José Cavagnaro; Ali A. Baaj; Nader S. Dahdaleh; Zachary Adam Smith

doi:10.25259/SNI_936_2022

Nontraumatic atlantoaxial rotatory subluxation in adults: Report of two cases

Xiaochun Zhao, Kiana Y. Prather, José M. Orenday-Barraza, Fauziyya Y. Muhammad, Lance M. Villeneuve, María José Cavagnaro, Ali A. Baaj, Nader S. Dahdaleh, Zachary Adam Smith^*

^*Corresponding author for this work

Neurological Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Nontraumatic infectious atlantoaxial rotatory subluxation (AARS) is rare and less frequently encountered in adults versus children. We utilized a stepwise approach to treat two adults with nontraumatic infectious AARS and summarized the relevant literature. Case Description: Two patients, ages 35 and 66, presented with classic clinical and imaging findings for infectious nontraumatic AARS. Here, we summarized the management for these two patients along with the literature. Conclusion: Nontraumatic infectious AARS in adults requires prompt X-ray diagnosis and timely application of traction to minimize neurological deficits. MR/CT imaging next offers critical information regarding whether operative stabilization is warranted.

Original language	English (US)
Article number	A35
Journal	Surgical Neurology International
Volume	13
DOIs	https://doi.org/10.25259/SNI_936_2022
State	Published - 2022

Keywords

Atlantoaxial
Cock-robin
Grisel syndrome
Nontraumatic
Subluxation

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.25259/SNI_936_2022

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@article{4860f639d3af4e98aa03b61eabdeface,

title = "Nontraumatic atlantoaxial rotatory subluxation in adults: Report of two cases",

abstract = "Background: Nontraumatic infectious atlantoaxial rotatory subluxation (AARS) is rare and less frequently encountered in adults versus children. We utilized a stepwise approach to treat two adults with nontraumatic infectious AARS and summarized the relevant literature. Case Description: Two patients, ages 35 and 66, presented with classic clinical and imaging findings for infectious nontraumatic AARS. Here, we summarized the management for these two patients along with the literature. Conclusion: Nontraumatic infectious AARS in adults requires prompt X-ray diagnosis and timely application of traction to minimize neurological deficits. MR/CT imaging next offers critical information regarding whether operative stabilization is warranted.",

keywords = "Atlantoaxial, Cock-robin, Grisel syndrome, Nontraumatic, Subluxation",

author = "Xiaochun Zhao and Prather, {Kiana Y.} and Orenday-Barraza, {Jos{\'e} M.} and Muhammad, {Fauziyya Y.} and Villeneuve, {Lance M.} and Cavagnaro, {Mar{\'i}a Jos{\'e}} and Baaj, {Ali A.} and Dahdaleh, {Nader S.} and Smith, {Zachary Adam}",

note = "Publisher Copyright: {\textcopyright} 2022 Published by Scientific Scholar on behalf of Surgical Neurology International.",

year = "2022",

doi = "10.25259/SNI_936_2022",

language = "English (US)",

volume = "13",

journal = "Surgical Neurology International",

issn = "2152-7806",

publisher = "Medknow Publications and Media Pvt. Ltd",

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TY - JOUR

T1 - Nontraumatic atlantoaxial rotatory subluxation in adults

T2 - Report of two cases

AU - Zhao, Xiaochun

AU - Prather, Kiana Y.

AU - Orenday-Barraza, José M.

AU - Muhammad, Fauziyya Y.

AU - Villeneuve, Lance M.

AU - Cavagnaro, María José

AU - Baaj, Ali A.

AU - Dahdaleh, Nader S.

AU - Smith, Zachary Adam

PY - 2022

Y1 - 2022

N2 - Background: Nontraumatic infectious atlantoaxial rotatory subluxation (AARS) is rare and less frequently encountered in adults versus children. We utilized a stepwise approach to treat two adults with nontraumatic infectious AARS and summarized the relevant literature. Case Description: Two patients, ages 35 and 66, presented with classic clinical and imaging findings for infectious nontraumatic AARS. Here, we summarized the management for these two patients along with the literature. Conclusion: Nontraumatic infectious AARS in adults requires prompt X-ray diagnosis and timely application of traction to minimize neurological deficits. MR/CT imaging next offers critical information regarding whether operative stabilization is warranted.

AB - Background: Nontraumatic infectious atlantoaxial rotatory subluxation (AARS) is rare and less frequently encountered in adults versus children. We utilized a stepwise approach to treat two adults with nontraumatic infectious AARS and summarized the relevant literature. Case Description: Two patients, ages 35 and 66, presented with classic clinical and imaging findings for infectious nontraumatic AARS. Here, we summarized the management for these two patients along with the literature. Conclusion: Nontraumatic infectious AARS in adults requires prompt X-ray diagnosis and timely application of traction to minimize neurological deficits. MR/CT imaging next offers critical information regarding whether operative stabilization is warranted.

KW - Atlantoaxial

KW - Cock-robin

KW - Grisel syndrome

KW - Nontraumatic

KW - Subluxation

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U2 - 10.25259/SNI_936_2022

DO - 10.25259/SNI_936_2022

M3 - Article

C2 - 36600765

AN - SCOPUS:85146641051

SN - 2152-7806

VL - 13

JO - Surgical Neurology International

JF - Surgical Neurology International

M1 - A35

ER -

Nontraumatic atlantoaxial rotatory subluxation in adults: Report of two cases

Abstract

Keywords

ASJC Scopus subject areas

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