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Traumatic atlanto-occipital dislocation in children.

P Houle1, D E McDonnell, J Vender

  • 1Section of Neurosurgery, Medical College of Georgia, Augusta, Ga. 30912, USA. phoule@mail.mcg.edu

Pediatric Neurosurgery
|May 19, 2001
PubMed
Summary

Traumatic atlanto-occipital dislocation, a severe pediatric injury, is increasingly survivable due to improved field resuscitation. A novel internal fixation technique achieved solid fusion without external bracing in two cases.

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Area of Science:

  • Orthopedics
  • Trauma Surgery
  • Pediatric Neurosurgery

Background:

  • Traumatic atlanto-occipital dislocation is a severe injury in pediatric trauma.
  • Improved field resuscitation has increased patient survival, necessitating effective treatment strategies.

Purpose of the Study:

  • To evaluate the efficacy of Locksley intersegmental tie bar occipital cervical fusion for traumatic atlanto-occipital dislocation.
  • To determine if this internal fixation method can obviate the need for external orthosis.

Main Methods:

  • Two pediatric cases of traumatic atlanto-occipital dislocation were treated.
  • The treatment involved Locksley intersegmental tie bar occipital cervical fusion.

Main Results:

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  • Both patients achieved solid bony fusion.
  • Neither patient required supplemental halo bracing.
  • Both patients experienced complete neurologic recovery.

    • Conclusions:

    • Locksley intersegmental tie bar occipital cervical fusion is a viable and effective treatment for traumatic atlanto-occipital dislocation.
    • This technique provides rigid internal fixation, eliminating the need for external immobilization.
    • Early surgical stabilization is crucial for potentially survivable atlanto-occipital injuries.