Oct 19, 2012

Incidence and outcome of atlanto-occipital dissociation at a level 1 trauma centre: a prospective study of five cases within 5 years

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Franz Josef MuellerBernd Fuechtmeier

Abstract

Prospective evaluation of atlanto-occipital dissociations (AODs) at a level 1 trauma centre within 5 years. Over a period of 5 years (2005-2009), all CT scans of the skull base and the upper cervical spine due to traumatic injuries were prospectively entered into a database. Furthermore, in cases of confirmed AOD all empirical data were prospectively collected. A more detailed data analysis of all AOD patients was conducted 2 years post-trauma. If required, another prospective follow-up was performed. 2,616 CT scans were performed in total. Out of these, there were five male patients with confirmed AOD. Thus, the total incidence was 0.2 %. AOD was associated with occipital condyle fractures in three out of the five cases. Three out of five patients (60 %) died due to the severity of the injury. It was possible to stabilise two patients surgically with a clinical/radiological follow-up 2 years post-surgery. At that time, one patient had an incomplete tetraplegia and was wheelchair ridden without needing ventilation, while the other patient suffered from post-traumatic stress disorder, but was able to walk and live alone. AOD is a rarely seen injury, even in a level 1 trauma centre, and is associated with high morbidity and morta...Continue Reading

  • References19
  • Citations10

References

  • References19
  • Citations10

Citations

Mentioned in this Paper

Brain Injuries
Morbidity Aspects
Cervical Spine
Dislocations
Post-Traumatic Stress Disorder
X-Ray Computed Tomography
Quadriplegia
Neck
Tomography, X-Ray Computerized Axial
Entire Cervical Spinal Column

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.

Related Papers

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
G LiG D Kelen
Annals of Rehabilitation Medicine
Sun Jae WonWon Ihl Rhee
The Spine Journal : Official Journal of the North American Spine Society
Jacob D GireBlythe Durbin-Johnson
© 2020 Meta ULC. All rights reserved