A. Ender OFLUOĞLU, M. İlker YASSA, BEKİR TUĞCU, Halil TOPLAMAOĞLU

Atlas ve aksisin nadir görülen kombine kırıkları: Olgu sunumu

Kombine atlanto-aksiyel omurga kırıkları nadir görülürken, farklı kırık şekilleri ile prezante olabilirler. Bu kombine kırıklar, sıklıkla motorlu araç kazalarında ve yüksekten düşme olgularında görülürler. 64 yaşında erkek hasta yüksekten düşme sonrası acil polikliniğimize başvurdu. Nörolojik muayenesi normal olan hastada, yapılan görüntülemeleri sonrasında, atlanto-oksipital kombine kırıklar saptandı. Hasta, sekiz hafta süreyle Halovest ile, sonrasında sekiz hafta Philadelphia tipi boyunluk ile immobilize edilerek tedavi edildi. Philadelphia tipi boyunluk travmadan dört ay sonra çıkarıldı. On altı ay sonra yapılan lateral radyografiler ve bilgisayarlı tomografide, solid kemik füzyonu izlendi ve instabilite saptanmadı. Bu yazıda; C2 korpus posterior koronal kırığı, antero-inferior gözyaşı kırığı, C1’in bilateral posterior arkus kırığı olan ve konservatif tedavi uygulayarak başarılı olduğumuz bir olgu sunulmuştur.

Unusual combined fractures of the axis and atlas: Case report

Combined atlantoaxial fractures are rare and may present in various types. These combined fractures are seen frequently after motor vehicle accidents and falls from height. A sixtyfour years old male patient was admitted to our emergency room after fall from height. His neurological examination was normal. The radiological imaging revealed atlanto-axial combined fractures. The patient was treated by immobilization for eight weeks with Halovest and thereafter for eight weeks with Philedelphia collar. The Philedelphia collar was left four months after the trauma. His lateral x-ray and computerized tomography imaging after sixteen months revealed solid bone fusion and no instability detected. In this study a successfull case who has undergone conservative treatment. Coronally orientated posterior corpus fracture and antero-inferior teardrop fracture of the C2 and bilateral fractures of the posterior arcus of the C1 has been presented.

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