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[Traumatic atlanto-occipital dislocation: a case report with survival]
K Shirakawa1, M Iwanaga, H Baba
1Department of Neurosurgery, National Nagasaki Chuo Hospital, Japan.
No Shinkei Geka. Neurological Surgery
|May 1, 1996
Summary
A seven-year-old girl survived anterior atlanto-occipital dislocation, a severe neck injury. Prompt diagnosis and surgical intervention led to a successful recovery, highlighting the importance of timely treatment for traumatic cervical spine injuries.
Area of Science:
- Trauma Surgery
- Pediatric Neurosurgery
- Spinal Cord Injury
Background:
- Anterior atlanto-occipital dislocation is a rare and life-threatening injury.
- Pediatric cases are particularly challenging due to anatomical differences and potential for delayed diagnosis.
Observation:
- A 7-year-old girl presented with altered consciousness, abducens nerve palsy, and quadriparesis after a traffic accident.
- Radiographic imaging confirmed anterior atlanto-occipital dislocation with severe cervical cord compression and ligamentous disruption.
Findings:
- The patient underwent posterior fixation with bone grafts for persistent cervical instability.
- The surgical outcome was favorable, with an uneventful postoperative course.
Implications:
- This case demonstrates the feasibility of surgical management and successful survival in pediatric anterior atlanto-occipital dislocation.
- Early recognition and aggressive treatment are crucial for improving outcomes in severe traumatic cervical spine injuries.