It is the lateral head tilt, not head rotation, causing an asymmetry of the odontoid-lateral mass interspace

详细信息    查看全文

• 作者：S. Guenkel ; M. J. Scheyerer ; G. Osterhoff…
• 关键词：Asymmetry ; Atlantoaxial ; LADI ; Odontoid ; lateral mass interspace ; Head rotation ; head tilt ; Cervical spine injury
• 刊名：European Journal of Trauma and Emergency Surgery
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：42
• 期：6
• 页码：749-754
• 全文大小：
• 刊物主题：Traumatic Surgery; Surgical Orthopedics; Emergency Medicine; Sports Medicine; Intensive / Critical Care Medicine; Surgery;
• 出版者：Springer Berlin Heidelberg
• ISSN：1863-9941
• 卷排序：42

文摘

ObjectiveAsymmetry in odontoid-lateral mass interspace in trauma patients is a common finding that regularly leads to additional diagnostic work-up, since its dignity is not entirely clear. There is little evidence in the literature that atlantoaxial asymmetry is associated with C1–C2 instability or (sub) luxation. Asymmetry in odontoid-lateral mass interspace seems to occur occasionally in healthy individuals and patients suffering a cervical spine injury. Congenital abnormalities in odontoid-lateral mass asymmetry may mimic an atlantoaxial asymmetry. The center of C1–C2 rotation is based in the peg of dens axis; therefore, a C1–C2 rotational influence seems unlikely. So far, no study examined the influence of C0–C1–C2 tilt to an asymmetry in odontoid-lateral mass interspace.