Combined fracture of atlas and axis with infrequent

Authors

  • Gretel Mosquera Betancourt Hospital General Universitario "Manuel Ascunce Domenech" Camagüey
  • Erick Héctor Hernández González
  • Erick Guevara Oré
  • Xavier Sulca Cedeño
  • Rogers Téllez Isla
  • Elizabet Ramírez Reyes

Abstract

Background: combined lesions of atlas and axis are the most common cervical spine traumas in elderly people, with an incidence of about 70 %. The diagnosis demands the use of advance radiologic procedures and the treatment options runs through conservative to complex surgical interventions to restore the stability of the occipito-cervical region.
Objective: to present a combined lesion of the first and second cervical vertebra as a less frequent shape of odontoid fracture.
Clinical case: a 79-year-old patient who suffered a posterior cranial trauma followed by bilateral cervicobrachialgia and paresthesias after a horse fall. At physical exploration no signs of radicular or cordonal compression were demonstrated. Computarized axial tomography with tridimentional reconstructions showed a bilateral and symmetrical fracture of the posterior arch of the atlas, associated with longitudinal and oblique fracture of odontoid next to the isthmus. No dislocation was observed that is why the upper cervical spine stability was preserved. Conservative treatment was achieved by an external orthesis with a favourable evolution.
Conclusions: for atlantoaxial traumatic lesions diagnosis, the use of computerized axial tomography is important associated or not with nuclear magnetic resonance. The stability of this region in correspondence with neurological status are the most important factors to select the best treatment choice.
DeCS: CERVICAL ATLAS/injuries; ODONTOID PROCESS; FRACTURES, BONE; AGED; CASE REPORTS.

Downloads

Download data is not yet available.

Downloads

Published

2016-10-25

How to Cite

1.
Mosquera Betancourt G, Hernández González EH, Guevara Oré E, Sulca Cedeño X, Téllez Isla R, Ramírez Reyes E. Combined fracture of atlas and axis with infrequent. Arch méd Camagüey [Internet]. 2016 Oct. 25 [cited 2025 Aug. 28];20(5):536-45. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/4471

Issue

Vol. 20 No. 5 (2016)

Section

Case Reports

License

Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.

Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.

(Download Statement of potential conflicts of interest)

The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).

This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/