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

Translated title of the contribution: Traumatic atlanto-occipital dislocation as part of a complex cervical spine injury. Case report in a 12-year-old girl

H Schmal, N P Südkamp, M Oberst

Research output: Contribution to journalJournal articleResearchpeer-review

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.

Original languageGerman
JournalDer Unfallchirurg
Volume110
Issue number8
Pages (from-to)720-5
Number of pages6
ISSN0177-5537
DOIs
Publication statusPublished - Aug 2007

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Wounds and Injuries
Emergency Medical Services
Immobilization
Cause of Death
Guidelines

Keywords

  • Journal Article

Cite this

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title = "Traumatische atlantookzipitale Dissoziation im Rahmen einer Komplexverletzung der HWS. Fallbeschreibung bei einem 12-j{\"a}hrigen Kind",
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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author = "H Schmal and S{\"u}dkamp, {N P} and M Oberst",
year = "2007",
month = "8",
doi = "10.1007/s00113-007-1262-2",
language = "Tysk",
volume = "110",
pages = "720--5",
journal = "Der Unfallchirurg",
issn = "0177-5537",
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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.

In: Der Unfallchirurg, Vol. 110, No. 8, 08.2007, p. 720-5.

Research output: Contribution to journalJournal articleResearchpeer-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

Y1 - 2007/8

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.

KW - Adolescent

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KW - Combined Modality Therapy

KW - Dislocations

KW - Emergency Medical Services

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Image Processing, Computer-Assisted

KW - Imaging, Three-Dimensional

KW - Magnetic Resonance Imaging

KW - Multiple Trauma

KW - Orthotic Devices

KW - Spinal Fusion

KW - Spinal Injuries

KW - Surgery, Computer-Assisted

KW - Tomography, X-Ray Computed

KW - Journal Article

U2 - 10.1007/s00113-007-1262-2

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M3 - Tidsskriftartikel

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EP - 725

JO - Der Unfallchirurg

JF - Der Unfallchirurg

SN - 0177-5537

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ER -