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  • Title: Atlanto-axial dislocation in acute rheumatic fever. Case report.
    Author: Bicknell JM, Kirsch WM, Seigel R, Orrison W.
    Journal: J Neurosurg; 1987 Feb; 66(2):286-9. PubMed ID: 3806210.
    Abstract:
    A 10-year-old boy had a sore throat, followed in 4 weeks by acute rheumatic fever and in 6 weeks by atlanto-axial dislocation. Reduction of the dislocation by means of a halo vest relieved his pain, but the cervical spine remained unstable after 3 months of immobilization and required an occiput-C1-2 fusion and rib graft to stabilize the atlanto-axial joint. This is the eighth reported case of atlanto-axial dislocation associated with acute rheumatic fever. The features of previous cases are summarized and the clinical aspects, mechanisms, diagnosis, and treatment of atlanto-axial dislocation are reviewed.
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