Traumatic Rotatory Atlantoaxial Subluxation

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Year-Number: 2023-Vol: 2 Issue: 1 PP: 1-25
Number of pages: 18-21
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Abstract

Trauma is one of the most important causes of mortality and morbidity in Turkey as well as in the world. The NCHS data (2021) revealed that trauma was the most common cause of death after heart disease, cancer, and COVID-19 in the USA. Many anatomical regions can be affected due to trauma. Although it constitutes only 3.7% of all trauma patients, the type of trauma with higher mortality and morbidity than other trauma types is cervical spine trauma. In this study, we presented a 20-year-old female patient who brought to the emergency department by her relatives due to a complaint of neck pain after a traffic accident. The patient's history revealed that the traffic accident was low-energy trauma and in-vehicle. It also acknowledged that the patient did not receive direct trauma to her neck, but she had hyperflexion-hyperextension movements of the neck region. Midline cervical spine examination revealed tenderness, but no focal neurological examination findings. Pathological findings were not detected in the cervical plain radiography. Cervical spinal CT (Figure 2) and cervical MRI (Figure 3) imaging were performed on the patient whose symptoms continued. The atlantoaxial dislocation was detected in the imaging of the patient. Although radiography is normal, advanced imaging methods should be used in the presence of positive physical examination findings.

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