Abstract
Rotasyonal atlantoaksiyel subluksasyonlar pediatrik hastalarda daha fazla görülür . Travma sonrası (Servikal spinal travma insidansı tüm pediatrik travmaların içinde %1-%4 arasında değişir )(1) , romatoid artrit ve solunum yolu enfeksiyonu (Grisel sendromu) ile ilişkilidir. Sıklıkla Cock-Robin baş pozisyonu (%57) (20 derece lateral fleksiyon 20 derece rotasyon 10 derece fleksiyon ) görülür . Boyun ağrısı(%67) , ense sertliği (%53) diğer sık basvuru semptomlarıdır.(2) Rotasyonel travmayı sınıflamak için Fielding&Hawkins sınıflaması kullanılır .Fielding&Hawkins sınıflamasına göre tip 1 travmalar ;yumuşak boyunluk, NSAİD ve kas gevşetici ile tedavi edilir.Bu vaka sunumuzda acil servise travma sonrası gelen pediatrik yaş grubunda Cock-Robin baş duruşu ile gelen hastada rotasyonel atlatoaksiyel subluksasyonun klinik semptom, tanı , görüntüleme ve tedavisini sunmayı amaçladık.
References
- Kinon MD, Nasser R, Nakhla J, Desai R, Moreno JR, Yassari R, Bagley CA. Atlantoaxial Rotatory Subluxation.Pediatric Emergency Care. 2016; 32(10):710–716.
- Powell EC, Leonard JR, Olsen CS, Jaffe DM, Anders J, Leonard JC. Atlantoaxial Rotatory Subluxation in Children. Pediatric Emergency Care. 2017; 33(2):86–91.
- Fielding JW, Hawkins RJ. The Journal of Bone and Joint Surgery. American Volume. 1977 Jan; 59(1):37-44.
- Neal KM, Mohamed AS. Atlantoaxial Rotatory Subluxation in Children. Journal of the American Academy of Orthopaedic Surgeons. 2015; 23(6):382–392.
- Mahr D, Freigang V, Bhayana H, Kerschbaum M, Frankewycz B, Loibl M, Nerlich M, Baumann F. Comprehensive treatment algorithm for atlanto-axial rotatory fixation (AARF) in children. European Journal of Trauma and Emergency Surgery. 2021; 47(3):713-718
Abstract
Rotational atlantoaxial subluxations are more common in pediatrics. It is associated with post-traumatic (the incidence of cervical spinal trauma varies between 1% and 4% of all pediatric traumas )(1), rheumatoid arthritis and respiratory tract infection (Grisel syndrome). Cock-Robin head position (57%) (20 degrees lateral flexion, 20 degrees rotation, 10 degrees flexion) is frequently seen. Neck pain (67%) and neck stiffness (53%) are other common presenting symptoms (2) . Fielding&Hawkins classification is used to classify rotational trauma.According to Fielding&Hawkins classification, type 1 traumas are treated with soft collars, NSAIDs and muscle relaxants. In this case report, we aimed to present the clinical symptoms, diagnosis, imaging and treatment of rotational attoaxial subluxation in a pediatric age group patient who came to the emergency department after trauma with cock-robin head posture.
References
- Kinon MD, Nasser R, Nakhla J, Desai R, Moreno JR, Yassari R, Bagley CA. Atlantoaxial Rotatory Subluxation.Pediatric Emergency Care. 2016; 32(10):710–716.
- Powell EC, Leonard JR, Olsen CS, Jaffe DM, Anders J, Leonard JC. Atlantoaxial Rotatory Subluxation in Children. Pediatric Emergency Care. 2017; 33(2):86–91.
- Fielding JW, Hawkins RJ. The Journal of Bone and Joint Surgery. American Volume. 1977 Jan; 59(1):37-44.
- Neal KM, Mohamed AS. Atlantoaxial Rotatory Subluxation in Children. Journal of the American Academy of Orthopaedic Surgeons. 2015; 23(6):382–392.
- Mahr D, Freigang V, Bhayana H, Kerschbaum M, Frankewycz B, Loibl M, Nerlich M, Baumann F. Comprehensive treatment algorithm for atlanto-axial rotatory fixation (AARF) in children. European Journal of Trauma and Emergency Surgery. 2021; 47(3):713-718
Details
| Primary Language | English |
|---|---|
| Subjects | Brain and Nerve Surgery (Neurosurgery) |
| Journal Section | Case Report |
| Authors | |
| Early Pub Date | April 17, 2024 |
| Publication Date | April 30, 2024 |
| Submission Date | December 2, 2023 |
| Acceptance Date | February 12, 2024 |
| Published in Issue | Year 2024 |