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Date Published: 16/03/2026
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DOI: https://doi.org/10.51298/vmj.v560i1.17769
Issue
Vol. 560 No. 1 (2026)
Section
Các bài báo
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Đỗ, M. H., Đinh, N. S., & Phạm, M. Đức. (2026). RESULTS OF CONSERVATIVE TREATMENT WITH MENTO-OCCIPITAL HEAD-HALTER TRACTION FOR ATLANTOAXIAL ROTATORY SUBLUXATION IN CHILDREN AND ALDOLESCENTS AT VIET DUC UNIVERSITY HOSPITAL. Vietnam Medical Journal, 560(1). https://doi.org/10.51298/vmj.v560i1.17769

RESULTS OF CONSERVATIVE TREATMENT WITH MENTO-OCCIPITAL HEAD-HALTER TRACTION FOR ATLANTOAXIAL ROTATORY SUBLUXATION IN CHILDREN AND ALDOLESCENTS AT VIET DUC UNIVERSITY HOSPITAL

Mạnh Hùng Đỗ, Ngọc Sơn Đinh, Minh Đức Phạm

Main Article Content

Abstract

Objectives: To evaluate the outcomes of conservative treatment with mento-occipital head-halter traction for C1-C2 rotatory subluxation in children and adolescents from January 2022 to January 2025. Methods: This was a prospective, longitudinal, and descriptive study. Results: Among the 21 patients in the study, the male-to-female ratio was 0.62:1, and the average age was 11.5 ± 2.1 years. The primary cause was trauma (80.9%). The main clinical symptoms were neck pain and torticollis (100%). The average time to diagnosis was 12.7 ± 3.2 days. On cervical spine CT scans, Type 1 rotatory subluxation according to the Fielding and Hawkins classification was the most common (85.7%). All patients were treated conservatively with continuous traction using an average weight of 1.52 ± 0.6 kg and an average traction time of 7.3 ± 3.4 days. There were no complications during continuous traction, and only one patient failed conservative treatment and required surgical reduction. Conclusion: Conservative treatment with continuous traction for C1-C2 rotatory subluxation in children and adolescents yields a high success rate and is safe for patients who are diagnosed early.

Article Details

Keywords

atlantoaxial rotatory subluxation, C1-C2 rotatory subluxation, mento-occipital head-healter traction

References

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