An atypical case of quadriparesis following C1 C2 subluxation with hydrocephalus: effect of extensive rehabilitation towards functional independence: A case study.

Abstract

Background: Atlantoaxial subluxation occurs when there is misalignment of the atlantoaxial joint. Several etiologies confer increased risk of Atlantoaxial subluxation in children, including neck trauma, inflammation, infection, or inherent ligamentous laxity of the cervical spine.
 Methods: A case study was performed. Demographics and clinical data were reviewed for etiology, imaging techniques, treatment, and clinic outcomes.
 Results: Patient suffered cervical spine trauma, advised for cervical collar after the surgery. In comparison to the baseline, the physiotherapists noted improvement in functional activities. Assessment and management of 1 patient with prolonged recovery from acquired hydrocephalus with VP shunting associated with C1-C2 subluxation.
 Conclusion: Pediatric patient with atlantoaxial subluxation was a small case study with a single participant. Conservative treatment with hard cervical collar and immobilization after reduction may be necessary. Physiotherapy treatment benefitted for all the functional activities in her daily living.