Traumatic atlanto-occipital dislocation with survival: case report and review.

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

Neurosurgery

journal_title

Neurosurgery

authors

Pang D,Wilberger JE Jr

doi

10.1227/00006123-198011000-00017

subject

Has Abstract

pub_date

1980-11-01 00:00:00

pages

503-8

issue

5

eissn

0148-396X

issn

1524-4040

journal_volume

7

pub_type

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