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Odontoid fracture with missed diagnosis of Transverse Atlantal Ligament (TAL) injury resulting in late-onset instability

机译:齿状突骨折未明确诊断横断亚特兰大韧带(TAL)损伤导致迟发性不稳定

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摘要

Background:Concurrent injuries to both the odontoid and transverse atlantal ligament are rare and can be easily missed. Failure to diagnose both lesions potentially leads to the late onset of sagittal plane instability and acute myelopathy. Here, we present a patient with an odontoid fracture whose transverse atlantal ligament (TAL) injury was originally missed on magnetic resonance imaging (MRI) and computed tomography (CT) scans. He later developed atlantoaxial instability requiring surgery.
机译:背景:齿状突韧带和横韧带并发损伤很少见,很容易遗漏。无法诊断这两个病变可能会导致矢状面不稳定和急性脊髓病的晚期发作。在这里,我们介绍了一名齿状突骨折患者,该患者最初在磁共振成像(MRI)和计算机断层扫描(CT)扫描中未发现横寰韧带(TAL)损伤。后来他发展出需要手术治疗的寰枢椎不稳。

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