Traumatic Atlanto-Occipital Dislocation - A Case Report- (외상성 환추-후두 관절 탈구 - 증례 보고 -)

정일권; 김현준; 선상규; 이규열

Traumatic Atlanto-Occipital Dislocation - A Case Report-

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2009, 16(4), pp.285~289
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

정일권 ¹, 김현준 ¹, 선상규 ¹, 이규열 ¹

¹동아대학교

Candidate

ABSTRACT

Survival after traumatic atlanto-occipital dislocation is rare. Severe persistent neurological deficits are common in the survivors, but early resuscitation and the use of the newer diagnostic techniques have contributed to improved outcomes. We present here the case of a 42 year old man with traumatic atlanto-occipital dislocation combined with a dens fracture, and the patient obtained good clinical results after we applied a Halo-vest and performed posterior fusion.

KEYWORDS

Atlanto-occipital dislocation, Occipito-cervical fusion

Citation status

* References for papers published after 2023 are currently being built.

[journal] Dibenedetto T / 1990 / Traumatic atlanto-occipital instability. A case report with follow-up and a new diagnostic technique / Spine 15 : 595~597

[journal] Chang H / 1998 / Traumatic atlanto-occipital rotatory posterior dislocation combined with atlanto-axial rotatory subluxation / Spine 5 : 326~332

[journal] Blackwood NJ / 1908 / Atlanto-occipital dislocation. A case of fracture of the atlas and axis, and forward dislocation of the occiput on the spinal column, life being maintained for thirty-four hours and forty minutes by artificial respiration, during which a laminectomy was performed upon the third cervical vertebra / Ann Surg 47 : 654~658

[journal] Traynelis VC / 1986 / Traumatic atlanto-occipital dislocation. Case report / J Neurosurg 65 : 863~870

[journal] Alker GJ Jr / 1978 / High cervical spine and craniocervical junction injuries in fatal traffic accidents: A radiological study / Orthop Clin North Am 9 : 1003~1010

[journal] Bucholz RW / 1979 / The pathological anatomy of fatal atlanto-occipital dislocations / J Bone Joint Surg Am 61 : 248~250

[journal] Power B / 1979 / Traumatic anterior atlanto-occipital dislocation / Neurosurgery 4 : 12~17

[journal] Harris JH Jr / 1994 / Radiologic diagnosis of traumatic occipitovertebral dissociation: 2. Comparison of three methods of detecting occipitovertebral relationships on lateral radiographs of supine subjects / Am J Roentgenol 162 : 887~892

[journal] Wholey MH / 1958 / The lateral roentgenogram of the neck; with comments on the atlantoodontoid- basion relationship / Radiology 71 : 350~356

[journal] McCullen GM / 2000 / Cervical spine internal fixation using screw and screw-plate constructs / Spine 25 : 643~652

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