Atlas occipitalization in a supersonic fighter pilot involved in a midair collision: a case report.

Abstract:

:We report a case of a midair collision between two F16 fighter aircraft, in which one pilot survived and the other was ejected upon impact and his remains recovered from sea. In autopsy, no patholgy was detected, other than the expected evidence of mechanical trauma. No defects in the aircraft or faults in the parachute or ejection mechanism were found. Reconstruction of the shattered skull base and the cervical vertebrae revealed fusion of the atlanto-occipital joint (occipitalization) and a left paracondylar process. The effective diameter of the spinal canal was decreased by the abnormal articulation. Such malformations can cause a wide range of neurologic deficits. Considering the skill and alertness needed to operate a supersonic fighter aircraft, with the pressure applied by the heavy protective head gear and various G forces endured by the spinal column during flight, we postulate that the collision was related to the pilot's sudden incapacitation.

journal_name

Mil Med

journal_title

Military medicine

authors

Gips H,Hiss J,Davidson B

doi

10.7205/milmed-d-10-00027

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

931-4

issue

11

eissn

0026-4075

issn

1930-613X

journal_volume

175

pub_type

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