Traumatische atlantookzipitale Dissoziation im Rahmen einer Komplexverletzung der HWS. Fallbeschreibung bei einem 12-jährigen Kind

H Schmal, N P Südkamp, M Oberst

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Traumatic atlanto-occipital dislocation (AOD) appears to be an unusual and almost universally fatal injury. Although AOD is the cause of death in about 10% of fatal cervical spine injuries an increasing number of reports document cases of survival following this injury. Improved pre-hospital and in-hospital emergency care according to ATLS guidelines that include early cervical spine stabilization, effective diagnosis because of improved imaging after trauma including whole body multislice CT followed by expeditious reposition and adequate immobilization are reasons for this phenomenon. We report the case of a 12-year-old girl surviving an AOD accompanied by a distraction injury C6/7 with unilateral fixed spinal luxation. After a primary attempt at closed reduction and external stabilization with a halo vest, the injury was treated by a navigated dorsal spondylodesis C0-C1 using the CerviFix rod system and open reposition of the remaining subluxation C6/7 with laminar hooks. The literature was reviewed for diagnostic possibilities, management and prognosis of AOD.

OriginalsprogTysk
TidsskriftDer Unfallchirurg
Vol/bind110
Udgave nummer8
Sider (fra-til)720-5
Antal sider6
ISSN0177-5537
DOI
StatusUdgivet - aug. 2007

Fingeraftryk

Wounds and Injuries
Emergency Medical Services
Immobilization
Cause of Death
Guidelines

Emneord

  • Adolescent
  • Atlanto-Occipital Joint
  • Cervical Vertebrae
  • Combined Modality Therapy
  • Dislocations
  • Emergency Medical Services
  • Female
  • Follow-Up Studies
  • Humans
  • Image Processing, Computer-Assisted
  • Imaging, Three-Dimensional
  • Magnetic Resonance Imaging
  • Multiple Trauma
  • Orthotic Devices
  • Spinal Fusion
  • Spinal Injuries
  • Surgery, Computer-Assisted
  • Tomography, X-Ray Computed

Citer dette

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abstract = "Traumatic atlanto-occipital dislocation (AOD) appears to be an unusual and almost universally fatal injury. Although AOD is the cause of death in about 10{\%} of fatal cervical spine injuries an increasing number of reports document cases of survival following this injury. Improved pre-hospital and in-hospital emergency care according to ATLS guidelines that include early cervical spine stabilization, effective diagnosis because of improved imaging after trauma including whole body multislice CT followed by expeditious reposition and adequate immobilization are reasons for this phenomenon. We report the case of a 12-year-old girl surviving an AOD accompanied by a distraction injury C6/7 with unilateral fixed spinal luxation. After a primary attempt at closed reduction and external stabilization with a halo vest, the injury was treated by a navigated dorsal spondylodesis C0-C1 using the CerviFix rod system and open reposition of the remaining subluxation C6/7 with laminar hooks. The literature was reviewed for diagnostic possibilities, management and prognosis of AOD.",
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Traumatische atlantookzipitale Dissoziation im Rahmen einer Komplexverletzung der HWS. Fallbeschreibung bei einem 12-jährigen Kind. / Schmal, H; Südkamp, N P; Oberst, M.

I: Der Unfallchirurg, Bind 110, Nr. 8, 08.2007, s. 720-5.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Traumatische atlantookzipitale Dissoziation im Rahmen einer Komplexverletzung der HWS. Fallbeschreibung bei einem 12-jährigen Kind

AU - Schmal, H

AU - Südkamp, N P

AU - Oberst, M

PY - 2007/8

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N2 - Traumatic atlanto-occipital dislocation (AOD) appears to be an unusual and almost universally fatal injury. Although AOD is the cause of death in about 10% of fatal cervical spine injuries an increasing number of reports document cases of survival following this injury. Improved pre-hospital and in-hospital emergency care according to ATLS guidelines that include early cervical spine stabilization, effective diagnosis because of improved imaging after trauma including whole body multislice CT followed by expeditious reposition and adequate immobilization are reasons for this phenomenon. We report the case of a 12-year-old girl surviving an AOD accompanied by a distraction injury C6/7 with unilateral fixed spinal luxation. After a primary attempt at closed reduction and external stabilization with a halo vest, the injury was treated by a navigated dorsal spondylodesis C0-C1 using the CerviFix rod system and open reposition of the remaining subluxation C6/7 with laminar hooks. The literature was reviewed for diagnostic possibilities, management and prognosis of AOD.

AB - Traumatic atlanto-occipital dislocation (AOD) appears to be an unusual and almost universally fatal injury. Although AOD is the cause of death in about 10% of fatal cervical spine injuries an increasing number of reports document cases of survival following this injury. Improved pre-hospital and in-hospital emergency care according to ATLS guidelines that include early cervical spine stabilization, effective diagnosis because of improved imaging after trauma including whole body multislice CT followed by expeditious reposition and adequate immobilization are reasons for this phenomenon. We report the case of a 12-year-old girl surviving an AOD accompanied by a distraction injury C6/7 with unilateral fixed spinal luxation. After a primary attempt at closed reduction and external stabilization with a halo vest, the injury was treated by a navigated dorsal spondylodesis C0-C1 using the CerviFix rod system and open reposition of the remaining subluxation C6/7 with laminar hooks. The literature was reviewed for diagnostic possibilities, management and prognosis of AOD.

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KW - Emergency Medical Services

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Image Processing, Computer-Assisted

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JO - Der Unfallchirurg

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