OBJECTIVES: To evaluate the ideal treatment strategy for @entity130 without @entity174 . DESIGN: Case report and systematic analysis based on the methodology of evidence-based medicine. SETTING: Level IV @entity130 center. @entity1 : Nineteen @entity1 who suffered from @entity130 without @entity174 . INTERVENTION: @entity6044 , open reduction, internal fixation, and fusion. OUTCOME MEASURES: Neurologic status, range of motion, and radiographs for stability or fusion. RESULTS: Nineteen cases were included in this analysis. The mean age was 37.7    13.8 years (range, 20-65 years). Sixteen cases (84%) were male, and 3 cases (16%) were female. Thirteen cases (68%) have a transient @entity909 . Ten cases (53%) presented no @entity51 . All 9 @entity1 (47%) with @entity51 recovered without any @entity51 . @entity3029 (58%) were reduced by closed reduction, followed by fusion in 5 of them (45%), and the remaining 6 dislocations (55%) were treated conservatively. Eight dislocations (42%) were treated by open reduction and fusion. CONCLUSIONS: Traumatic @entity3029 without @entity174 usually presents without a severe @entity51 . Even if it presents with mild or transient @entity51 , it would be restored without any @entity51 . @entity6044 is usually successful and safe. The need for fusion after successful closed reduction depends on the integrity of the transverse ligament and the stability of cervical spine. If anatomic reduction is not achieved by closed reduction, open reduction and fusion should be performed.

Traumatic XXXX Without @entity174 : A Case Report and Systematic Analysis of 19 Cases.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture of odontoid process'] @entity6044 :: ('MESH:D005596', 'Disease') :: ['Closed reduction'] @entity909 :: ('MESH:D014474', 'Disease') :: ['loss of consciousness'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurologic deficit', 'residual deficits', 'neurologic deficits'] @entity130 :: ('MESH:D014947', 'Disease') :: ['traumatic posterior atlantoaxial dislocation', 'trauma'] @entity3029 :: ('MESH:D004204', 'Disease') :: ['posterior atlantoaxial dislocation', 'Eleven dislocations']
@entity3029 :: (MESH:D004204,Disease) :: ['Posterior Atlantoaxial Dislocation']
