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Traumatic Atlanto-Occipital Dissociation and Atlantoaxial Instability: Concomitant Ligamentous Injuries without Neurologic Deficit: A Case Report.
- Source :
-
JBJS Case Connector . 7/11/2018, Vol. 8 Issue 3, pe62-e62. 1p. - Publication Year :
- 2018
-
Abstract
- Case: A 35-year-old man was involved in a motor-vehicle collision and sustained multiple thoracoabdominal and extremity injuries. A high injury burden and a normal neurologic examination contributed to a delay in diagnosing a ligamentous, combined atlanto-occipital dissociation (AOD) and vertical atlantoaxial injury (AAI). Additional imaging revealed the combined injury, and the patient underwent an occipitocervical fusion. Conclusion: To our knowledge, this is the first case of a simultaneous traumatic AOD and AAI without fracture in a neurologically intact patient. Knowledge of reliable and easily applied radiographic relationships is important to expeditiously diagnose potentially lethal yet easily overlooked occipitocervical injuries. [ABSTRACT FROM AUTHOR]
- Subjects :
- *WOUNDS & injuries
*NEUROLOGIC examination
Subjects
Details
- Language :
- English
- ISSN :
- 21603251
- Volume :
- 8
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- JBJS Case Connector
- Publication Type :
- Academic Journal
- Accession number :
- 139728071
- Full Text :
- https://doi.org/10.2106/JBJS.CC.18.00021