Degenerative cervical myelopathy caused by posttraumatic severe atlantoaxial dislocation over 10 years in patients with right vertebral artery hypoplasia: A case report of successful management.
Int J Surg Case Rep
; 105: 108062, 2023 Apr.
Article
em En
| MEDLINE
| ID: mdl-36989632
ABSTRACT
INTRODUCTION:
Degenerative cervical myelopathy caused by long-standing neglected AAD is rare, especially in severe cases. Combined with the exceptional right vertebral artery hypoplasia condition, treatment must be integrated into multitherapy to avoid fatal complications. CASE A 55-year-old man presented with degenerative cervical myelopathy caused by posttraumatic severe atlantoaxial dislocation for more than 10 years in patients with right vertebral artery hypoplasia. After treatment with halo traction and C1 lateral mass, as well as C2 pedicle screw fixation combined with bone autoplasty, the condition was resolved.CONCLUSION:
This is an extremely rare and severe condition (anatomical damage, long-term sequelae, degree of paralysis on admission, and complete hypoplasia of the right vertebral artery). The treatment strategy is consistent with early favorable outcomes.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Int J Surg Case Rep
Ano de publicação:
2023
Tipo de documento:
Article