Affiliation:
1. BOLU ABANT İZZET BAYSAL ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, BEYİN VE SİNİR CERRAHİSİ ANABİLİM DALI
2. ZONGULDAK ATATÜRK DEVLET HASTAHANESİ BEYİN VE SİNİR CERRAHİSİ KLİNİĞİ
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.
Publisher
Bolu Abant Izzet Baysal Universitesi, Tip Fakultesi, Abant Tip Dergisi