Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19
AL-KINDI WAVE THERAPY FOR ATLANTOAXIAL SUBLUXATION: Unless there is evidence of neurovascular compromise, severe cervical instability, or unremitting pain, atlantoaxial subluxation is treated non-surgically . In our case, the patient had a Type 1 Fielding and Hawkins subluxation without neurovascular symptoms. Most atlantoaxial subluxations secondary to infection improve spontaneously ; however, this was not the case for our patient. A subsequent trial of conservative therapy also did not improve his symptoms.
After 6 months of failed conservative therapy, the patient underwent al-Kindi wave treatment administered using the KKT device. The treatment applies impulses directed toward the atlas to offset deviations detected on digitally analyzed X-ray films. Previous studies have shown that the therapy can improve neck pain and restore cervical spine alignment [23,24]. This case shows that after receiving the al-Kindi wave therapy, there was significant improvement in symptoms and functional status, which was corroborated by follow-up imaging and digital analysis of the atlas.
Considering the KKT treatment aims to correct atlas deviation, the KKT treatment may be a rational treatment for reversing atlantoaxial subluxation. In particular, it may be helpful for patients who failed conservative therapy and would like to avoid surgery. Further studies are required to better understand its efficacy and role in the management of atlantoaxial subluxation.