Abstract
An atlanto-occipital dislocation, also referred to as internal decapitation, was once thought to be a universally fatal injury as it occurs when the skull separates from the spinal column as a result of ligamentous injury. This publication follows the course of a 3 year old female who experienced an atlanto-occipital dislocation from injury to follow-up. Current imaging and diagnostics are discussed along with criteria for diagnosis and recommended treatment.
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References
1.
Astur N., Klimo P., Sawyer J., Kelly D., Muhlbauer M., Warner W. ( 2014). Traumatic atlanto-occipital dislocation in children. Journal of the American Academy of Orthopaedic Surgeons , 22(5), 274–282.
2.
Farthing J. W. ( 1948). Atlantocranial dislocation with survival: A case report. North Carolina Medical Journal , 9(1), 34–36.
3.
Hosalkar H. S., Cain E. L., Horn D., Chin K. R., Dormans J. P., Drummond D. S. ( 2005). Traumatic atlanto-occipital dislocation in children. The Journal of Bone and Joint Surgery , 87(11), 2480–2488.
4.
Klimo P. Jr., Ware M. L., Gupta N., Brockmeyer D. ( 2007). Cervical spine trauma in the pediatric patient. Neurosurgical Clinics of North America , 18(4), 599–620.
5.
Labbe J. L., Leclair O., Duparc B. ( 2001). Traumatic atlanto-occipital dislocation with survival in children. Journal of Pediatric Orthopedics , 10(4), 319–327.
6.
Saveika J. A., Thorogood C. ( 2006). Airbag-mediated pediatric atlanto-occipital dislocation. American Journal of Physical Medicine & Rehabilitation , 85, 1007–1010.