Traumatic Anterior Atlantoaxial Rotatory Subluxation (Type III) Associated with Type III Odontoid Fracture: A Case Report

Nitesh Gahlot
JBJS Case Connector 2020, 10 (2): e0485

CASE: A 47-year-old man presented with traumatic anterior atlantoaxial subluxation (type III) associated with type III odontoid fracture with no neurological deficit. He was managed surgically with posterior reduction and C1-C2 fixation and fusion. The association of anterior atlantoaxial rotatory subluxation (Fielding type III) with odontoid fracture (Anderson and D'Alonzo type III) is rare with only 7 reported cases in recent literature.

CONCLUSIONS: This report adds important information regarding the management and presentation of such an injury and also describes a serious complication associated with type III odontoid fractures, which was managed conservatively.

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