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Image Rendering Techniques in Postmortem Computed Tomography: Evaluation of Biological Health and Profile in Stranded Cetaceans

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Rare atlas fracture detected using postmortem computed tomography: A case report.

Hajime Tsuboi¹, Ryutaro Takazakura¹, Nozomi Idota¹

¹Department of Forensic Medicine, Graduate School of Medicine, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto 602-8566, Japan.

Journal of Forensic and Legal Medicine

|October 5, 2018

Summary

This case report details an autopsy of a traffic accident victim revealing a rare atlas fracture. Postmortem CT imaging was crucial in identifying the fracture and associated spinal cord injury, aiding the autopsy findings.

Keywords:

Atlas fracture Autopsy Cervical hyperextension Horizontal fracture Postmortem computed tomography Spinal cord injury

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Area of Science:

Forensic Pathology
Radiology
Traumatology

Background:

Autopsy examination of traffic accident fatalities is essential for determining cause of death.
Atlas fractures, particularly horizontal types, are uncommon injuries.
Postmortem imaging techniques can supplement traditional autopsy procedures.

Observation:

A 52-year-old male traffic accident victim presented with a rare atlas fracture.
Postmortem computed tomography (CT) revealed a vertically separated anterior arch of the atlas.
A minor spinal cord injury was also identified during the examination.

Findings:

The atlas fracture pattern suggested a mechanism involving cervical hyperextension.
Postmortem CT imaging was instrumental in visualizing the subtle atlas fracture.
CT findings correlated with and supported the gross autopsy observations.

Implications:

This case highlights the utility of postmortem CT in diagnosing rare cervical spine injuries.
Understanding the biomechanics of atlas fractures is critical in forensic investigations.
Integrated imaging and autopsy approaches enhance the accuracy of forensic analyses.