Pediatric Neurosurgery
Case Report
Occipito-Atlanto-Axial Dissociation in a Child with Preservation of Life: A Case Report and Review of the LiteratureSalinsky J.P.a · Scuderi G.J.a · Crawford A.H.baParkway Regional Medical Center, North Miami Beach, Fla., and bUniversity of Cincinnati Medical Center, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA
|
|
Log in to MyKarger to check if you already have access to this content.
KAB
Buy a Karger Article Bundle (KAB) and profit from a discount!
If you would like to redeem your KAB credit, please log in.
Save over 20% compared to the individual article price.
Article / Publication Details
Received: August 10, 2005
Accepted: September 03, 2006
Published online: March 01, 2007
Issue release date: February 2007
Number of Print Pages: 5
Number of Figures: 5
Number of Tables: 0
ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)
For additional information: https://www.karger.com/PNE
Abstract
We report a case of a survivor of occipito-atlantal dislocation with atlantoaxial subluxation, an injury which is frequently fatal. Children less than 11 years of age appear to be especially vulnerable to these injuries due to their anatomy. The mechanism is alluded to but poorly understood. The literature review highlights the difficulty in confirming dislocation and subluxation based on the metrics of anatomic landmarks.
© 2007 S. Karger AG, Basel
Related Articles:
References
-
Deliganis AV, Mann FA, Grady MS: Rapid diagnosis and treatment of traumatic atlantooccipital dissociation. Am J Roentgenol 1998;171:986.
External Resources
- Kuzma BB, Goodman JM: Diagnosis of atlanto-occipital dislocation. Surg Neurol 1997;48:418–419.
- Alker GJ, Oh YS, Leslie EV: High cervical spine and craniocervical junction injuries in fatal traffic accidents: a radiological study. Orthop Clin North Am 1978;9:1003–1010.
- Bucholz RW, Burkhead WZ: The pathological anatomy of fatal atlanto-occipital dislocations. J Bone Joint Surg Am 1979;61:248–250.
- Bulas DI, Fitz CR, Johnson DL: Traumatic atlanto-occipital dislocation in children. Radiology 1993;188:155–158.
- McGrory BJ, Klassen RA, Chao EY, Staeheli JW, Weaver AL: Acute fractures and dislocations of the cervical spine in children and adolescents. J Bone Joint Surg Am 1993;75:988–995.
-
Menezes AH: Bony anomalies of the craniovertebral junction; in Pang D (ed): Disorders of the Pediatric Spine. New York, Raven Press, 1995, pp 99–100.
- Georgopoulos G, Pizzutillo PD, Lee MS: Occipito-atlantal instability in children: a report of five cases and review of the literature. J Bone Joint Surg Am 1987;69:429–436.
- Kaufman RA, Carroll CD, Buncher CR: Atlanto-occipital junction: standards for measurement in normal children. AJNR 1987;8:995–999.
- Powers B, Miller MD, Kramer RS, Martinez S, Gehweiler JA: Traumatic anterior atlanto-occipital dislocation. Neurosurgery 1979;4:12–17.
-
Steel HH: Anatomical and mechanical consideration of the atlanto-axial articulation. J Bone Joint Surg Am 1968;50:1481–1482.
- Mazzara JT, Fielding JW: Defect of C1–C2 rotation on canal size. Clin Orthop Relat Res 1988;237:115–119.
-
Eismont FJ, Frazier DD: Craniocervical trauma; in Levine A, Eismont FJ, Garfin S, Zigler J (eds): Spine Trauma. Philadelphia, Saunders, 1998, pp 197–198.
- Traynelis VC, Marano GD, Dunker RO, Kaufman HH: Traumatic atlanto-occipital dislocation. J Neurosurg 1986;65:863–870.
-
Martel W: The occipital-atlanto-axial joints in rheumatoid arthritis and ankylosing spondylitis. Am J Roentgenol 1961;86:223–240.
External Resources
- Washington ER: Nontraumatic atlanto-occipital and atlanto-axial dislocation. A case report. J Bone Joint Surg Am 1959;41:341–344.
Article / Publication Details
Received: August 10, 2005
Accepted: September 03, 2006
Published online: March 01, 2007
Issue release date: February 2007
Number of Print Pages: 5
Number of Figures: 5
Number of Tables: 0
ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)
For additional information: https://www.karger.com/PNE
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Get Permission
PubMed ID
