González AOC, Cardoso MA, Rosales MME

Language: Spanish
References: 8
Page: 41-48
PDF size: 324.97 Kb.

ABSTRACT

Background: The natural history of rotatory atlanto axial subluxation (C1-C2), as well as the follow-up and differential diagnosis have received little attention in the international literature. The causes can be congenital, traumatic, inflammatory, neurological, ophthalmic, vestibular, or psychogenic. Cases have also been reported after surgery of the head and neck. Case report: A girl aged 9 with a history of muscular torticollis, who underwent a bipolar lengthening of the right sternocleidomastoid muscle present 6 weeks after surgery with a clinical presentation resembling rotatory atlanto axial subluxation (C1-C2). The diagnosis was confirmed with CT and MRI which also demonstrate a dysplastic left occipital condyle, a halo was placed and reduction was obtained, she remained in traction for 2 weeks, he maintained in a halo vest for 8 weeks and weaned from the halo using a Miami type neck brace. At 8 moths follow-up the patient is completely asymptomatic with no deformity and a full range of motion. Discussion: In the case presented, the lengthening of the sternocleidomastoid muscle to treat the congenital torticollis was a determining factor in the development of the rotatory atlanto axial subluxation (C1–C2).

REFERENCES

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