教員業績データベース |
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論文種別 | 症例報告 |
言語種別 | 英語 |
査読の有無 | 査読なし |
表題 | Post-traumatic torticollisdue to odontoid fracture in a patient with diffuse idiopathic skeletal hyperostosis: A case report. |
掲載誌名 | 正式名:Medicine 略 称:Medicine (Baltimore) ISSNコード:1536-5964(Electronic)0025-7974(Linking) |
掲載区分 | 国外 |
巻・号・頁 | 94(36),pp.e1478 |
著者・共著者 | Tsuji Shotaro, Inoue Shinichi, Tachibana Toshiya, Maruo Keishi, Arizumi Fumihiro, Yoshiya Shinichi |
発行年月 | 2015/09 |
概要 | Descriptive case report.To report a rare case of post-traumatic torticollis by odontoid fracture in a patient with diffuse idiopathic skeletal hyperostosis (DISH).Cervical fractures in DISH can result from minor trauma, and a delay in presentation often prevents their timely diagnosis. Cervical fractures in patients with spinal DISH usually occur in extension injuries, and almost always occur in the lower cervical spine. Reports of odontoid fractures with torticollis in patients with spinal DISH are rare.A 73-year-old man with DISH presented with severe neck pain and a cervical deformity presenting as torticollis without neurological deficits. He gave a history of a fall while riding a bicycle at a low speed 3 months ago. X-ray showed torticollis in the right side, and computed tomography (CT) showed a type-II odontoid fracture and subluxation at the C1-2 level.We performed a staged treatment because this patient had severe neck pain associated with a chronic course. Initially, the fracture dislocation was reduced under general anesthesia and was stabilized with a halo vest. We then performed posterior occipitocervical in situ fusion after confirming the correction of the cervical deformity by CT. The patient showed significant amelioration of neck symptoms postoperatively, and bony fusion was achieved 1 year after surgery.For post-traumatic torticollis due to an odontoid fracture, plain CT is useful for diagnosis and posterior occipitocervical in situ fusion following correction and immobilization with a halo vest is a safe and an effective treatment. |
DOI | 10.1097/MD.0000000000001478 |
PMID | 26356707 |