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Nontraumatic atlantoaxial rotatory subluxation in adults: Report of two cases. 2022

Xiaochun Zhao, and Kiana Y Prather, and José M Orenday-Barraza, and Fauziyya Y Muhammad, and Lance M Villeneuve, and María José Cavagnaro, and Ali A Baaj, and Nader S Dahdaleh, and Zachary A Smith
Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

Nontraumatic infectious atlantoaxial rotatory subluxation (AARS) is rare and less frequently encountered in adults versus children. We utilized a stepwise approach to treat two adults with nontraumatic infectious AARS and summarized the relevant literature. Two patients, ages 35 and 66, presented with classic clinical and imaging findings for infectious nontraumatic AARS. Here, we summarized the management for these two patients along with the literature. Nontraumatic infectious AARS in adults requires prompt X-ray diagnosis and timely application of traction to minimize neurological deficits. MR/CT imaging next offers critical information regarding whether operative stabilization is warranted.

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