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카이로프랙틱 후 발생한 환축추 아탈구 및 후천성 사경

Other Titles
 Torticollis and Atlantoaxial Rotatory Subluxation after Chiropractic Therapy 
Authors
 김도영  ;  윤왕현  ;  박진영  ;  박중현 
Citation
 Clinical Pain (대한임상통증학회지), Vol.18(2) : 92-96, 2019-12 
Journal Title
 Clinical Pain (대한임상통증학회지) 
ISSN
 1598-5490 
Issue Date
2019-12
Keywords
Atlantoaxial joint ; Chiropractic ; Torticollis
Abstract
Torticollis is an abnormal, asymmetric head or neck position which usually caused by imbalance of paracervical muscles. The traumatic torticollis can be caused by following events; atlantoaxial rotatory subluxation, atlantoaxial dislocation, cervical vertebral fractures, and injury to the cervical musculature. Especially, acute traumatic atlantoaxial rotatory subluxation usually presents limitation of cervical range of motion without pain or neurologic deficit. We report a case of a 58 year-old man who developed the acute atlantoaxial rotatory subluxation right after the chiropractic therapy, which induced the limitation of cervical range of motion to 52.5% of normal range. The magnetic resonance image revealed the facture of the odontoid process and the partial injury in transverse ligaments of the atlas. He underwent intramuscular botulinum toxin injection and 10 days of continuous cervical traction 15 hours a day using a 5 kg weight. The range of the cervical motion restored up to 90.2% of normal range.
Files in This Item:
T201906517.pdf Download
DOI
10.35827/cp.2019.18.2.92
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Jinyoung(박진영) ORCID logo https://orcid.org/0000-0003-4042-9779
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/178392
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