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[Traumatic atlanto-occipital dislocation]
J P Hladky1, J P Lejeune, F Leclercq
1Service de Neurochirurgie Pédiatrique, Hpital B, Lille.
Neuro-Chirurgie
|January 1, 1991
Insights
Traumatic atloido-occipital dislocation is a severe injury. However, some children can survive this condition, though often with lasting neurological deficits.
Area of Science:
- Orthopedics
- Pediatric Traumatology
- Neurosurgery
Background:
- Traumatic atloido-occipital dislocation is a rare and often fatal injury.
- Immediate cardiorespiratory arrest is a common outcome.
Observation:
- This study reports on 3 pediatric cases of traumatic atloido-occipital dislocation.
- Patients survived the initial injury despite significant neurological impairment.
Findings:
- Clinical and radiological data, including Magnetic Resonance Imaging (MRI), were analyzed.
- These cases were compared with 18 previously reported instances in the literature.
Implications:
- Highlights the possibility of survival in pediatric traumatic atloido-occipital dislocation.
- Emphasizes the importance of advanced imaging (MRI) in assessing these injuries.
- Informs management strategies for severe pediatric spinal trauma.
Abstract:
Traumatic atloido-occipital dislocation is usually fatal with immediate cardio-respiratory arrest. The authors report 3 cases of children who survived such a spine injury despite neurological impairment. Clinical and radiological data including Magnetic Resonance Imaging are compared with 18 other cases reported in the literature.