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Atlantoaxial SubluxationAn Unusual Complication After Local Anesthesia for Tonsillectomy
Pekka Sipilä, MD;
Antti Palva, MD;
Martti Sorri, MD;
Kauko Ojala, MD
Arch Otolaryngol. 1981;107(3):181-182.
Abstract
• After tonsillectomy, atlantoaxial subluxation occurred in two patients. Operations had been performed with the use of local anesthesia, and it was assumed that, during the injection of anesthetics, bacteria infected the prevertebral space. The initial symptoms of the prevertebral space infection were neck pain and stiffness; the movements of the neck were minimal, and opening of the mouth caused pain due to spasm of the deep cervical muscles. Both patients had persistent fever. The roentgenographically observed subluxation developed in one to two months after tonsillectomy. One of the patients was treated only with antibiotics; the other patient required atlantoaxial spondylodesis. Healing of the subluxation lasted about six months in both cases.
(Arch Otolaryngol 1981;107:181-182)
Author Affiliations
From the Department of Otolaryngology, University of Oulu, Finland.
Footnotes
Accepted for publication July 10, 1980.
Reprint requests to Department of Otolaryngology, University of Oulu, Kajaanintie 50, SF-90220, Oulu 22, Finland (Dr Sipilä).
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