International Orthopaedics, 2023 · DOI: https://doi.org/10.1007/s00264-023-05817-7 · Published: May 11, 2023
This study introduces a new surgical technique to quickly and accurately correct a traumatic atlantoaxial dislocation (TAAD), a condition where the top two vertebrae in the neck misalign due to injury. The technique involves a closed reduction performed through the oropharynx (the back of the mouth) under general anesthesia. The study found that this method was successful in all 18 patients, leading to improved clinical outcomes and imaging parameters.
The transoropharyngeal closed reduction offers a new treatment option for acute TAAD, potentially reducing the risks and discomfort associated with prolonged cranial traction.
The technique facilitates rapid and precise reduction of the atlantoaxial joint, which is critical in severe cases to mitigate neurological and vascular injuries.
The study demonstrated significant improvements in clinical and radiological outcomes, indicating a positive impact on patients' recovery and quality of life.