Traumatic dislocation of the atlanto-occipital joint.
نویسندگان
چکیده
We present four patients who had sustained a traumatic dislocation of the atlanto-occipital joint. The diagnosis was initially missed in two patients. One patient, who was neurologically intact, was treated non-operatively. The remaining three recovered neurologically after an occipitocervical fusion. Early recognition of the injury, especially in multiply-injured patients with head injuries, and timely management may improve survival and neurological recovery.
منابع مشابه
Traumatic atlanto-occipital dislocation. Case report.
Traumatic atlanto-occipital dislocation is a serious injury that is usually fatal. The number of patients surviving this injury, however, appears to be increasing, and most of these survivors are children. This may reflect an improvement in emergency transport services. Seventeen previously reported cases of patients surviving atlanto-occipital dislocation for more than 48 hours are reviewed an...
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We report a patient with traumatic atlanto-occipital dislocation who presented with dysphagia as the chief complaint. A 59-year-old man complained of swallowing difficulty for 2 months after trauma to the neck. On physical examination, there was atrophy of the right sternocleidomastoid and upper trapezius muscles, and the tongue was deviated to the right. In a videofluoroscopic swallowing study...
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Traumatic atlanto-occipital dislocation is an uncommon injury that frequently results in either a fatal outcome or severe neurologic deficit. This diagnosis must be considered for any patients who may have had cervical spine damage after high trauma, even in the absence of neurologic signs, as there have been reports of cases without neurologic impairment. In addition to radiographic examinatio...
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Fusion ofthe occiput to the upper cervical spine is an uncommon but important operation as it is the only means ofpermanently stabilising the interveningjoints. Instability ofthe atlas or axis on the remainder of the cervical spine is dangerous, and if it progresses to subluxation or dislocation there is a risk of damage to the medulla, spinal cord and nerve roots. Fusion may be required for pr...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 85 6 شماره
صفحات -
تاریخ انتشار 1987