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- J D De Beer, M Thomas, J Walters, and P Anderson.
- Department of Orthopaedic Surgery, Groote Schuur Hospital, Cape Town, Republic of South Africa.
- J Bone Joint Surg Br. 1988 Aug 1;70(4):652-5.
AbstractTraumatic atlanto-axial subluxation is a rare injury which may not be revealed on routine radiographs, especially when there is muscle spasm. We report on seven patients with atlanto-axial subluxation as a result of neck injury; only two of them had significant head injuries. Three patients presented with a neurological deficit attributable to the injury, one immediate and two with delayed onset. Traumatic atlanto-axial instability, occurring in an otherwise healthy patient, has a potential for neurological disaster; early consideration of operative treatment is indicated.
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