Abstract:
:Traumatic atlanto-occipital (A-O) dislocation is a rare injury that is associated with a high mortality rate. We are presenting the case of a 5-year-old child with this entity to illustrate the mechanism of injury, the often-confusing clinical picture, and the use of diaphragmatic fluoroscopy to localize the neurological lesion. We suggest using plain lateral roentgenograms, anteroposterior tomograms, and a cervical computed tomographic scan to confirm the diagnosis of A-O dislocation. We strongly favor using the halo apparatus for immediate immobilization and posterior occipitoatlantoaxial fusion for long term stability. The various diagnostic radiographic criteria for A-O dislocation are compared and discussed.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Pang D,Wilberger JE Jrdoi
10.1227/00006123-198011000-00017subject
Has Abstractpub_date
1980-11-01 00:00:00pages
503-8issue
5eissn
0148-396Xissn
1524-4040journal_volume
7pub_type
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