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Updated: Aug 12, 2026

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Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
Traumatic occipitoatlantal dislocation
1Division of Neurological Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand 90112.
Surgical Neurology
|March 15, 2001
Summary
Survivors of traumatic occipitoatlantal dislocation (OAD) are rare, often experiencing severe neurological deficits. Early recognition and respiratory support are crucial for potential treatment, though outcomes remain poor.
Area of Science:
- Traumatology
- Neurosurgery
- Radiology
Background:
- Traumatic occipitoatlantal dislocation (OAD) is a severe ligamentous injury with high mortality.
- Improved prehospital care and diagnostic techniques have led to increased reporting of OAD survivors.
Observation:
- This study retrospectively reviewed three traumatic OAD survivors.
- Diagnosis was confirmed via lateral cervical spine radiography, CT, or MRI.
- All survivors presented with severe neurological deficits; two were children and one was a 64-year-old male.
Findings:
- OAD survivors represented 3.1% of cervical spine injuries in this service.
- Two patients died within two weeks; the anterior OAD patient survived longer but died from septicemia at five months.
- Treatment involved early respiratory support and posterior surgical fusion.
Implications:
- Early recognition and prompt respiratory support are vital for managing OAD.
- Surgical fusion may improve outcomes in select OAD survivors.
- Despite advancements, traumatic OAD remains a devastating injury with a high mortality rate.
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