Traumatic atlanto-occipital dislocation in children: is external immobilization an option?

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Taylor J AbelJames M Drake

Abstract

Traumatic atlanto-occipital dislocation (AOD) is a relatively uncommon traumatic cervical spine injury characterized by disruption and instability of the atlanto-occipital joint. At many centers, management of pediatric AOD includes occipitocervical arthrodesis, but whether external immobilization without surgery is a viable treatment option for some pediatric patients is unknown. To answer this question, we analyzed our outcomes of pediatric AOD at the Hospital for Sick Children. We performed a retrospective chart review of all children with clinical and radiographic evidence of traumatic AOD. A total of 10 patients met criteria for traumatic AOD: 8 were treated with external immobilization alone and 2 were treated with occipitocervical arthrodesis. Eight patients were treated exclusively with 3 months of halo immobilization. Two patients were treated with occipitocervical instrumentation and arthrodesis. No patient undergoing halo immobilization required subsequent operative fusion. Halo immobilization is a safe, viable, and definitive treatment option for the selected children with AOD.

References

Jan 1, 1979·Neurosurgery·B PowersJ A Gehweiler
Feb 25, 2005·Neurosurgical Focus·Michael P SteinmetzJames S Anderson
Oct 27, 2006·Journal of Pediatric Orthopedics·Brian Pd WillsJohn P Dormans
Apr 2, 2009·Spine·Noppachart LimpaphayomVernon T Tolo
Jan 18, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Massimiliano VisocchiLuca Massimi
Jan 29, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·M EhlingerF Bonnomet
Nov 20, 2012·Journal of Neurosurgery. Pediatrics·Paul KlimoMichael S Muhlbauer
Mar 30, 2013·Neurosurgery·Nicholas TheodoreMark N Hadley
May 3, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Nelson AsturWilliam C Warner
May 16, 2014·World Journal of Orthopedics·Daniel J Hedequist
Dec 20, 2015·Journal of Neurosurgery. Spine·Eduardo Martinez-Del-CampoNicholas Theodore
Jun 4, 2016·Current Reviews in Musculoskeletal Medicine·Manish K KasliwalVincent C Traynelis
Jul 8, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Andrew T HaleLuke D Tomycz
Jul 1, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·M Burhan JanjuaJeffrey P Greenfield
Jan 6, 2019·Acta Neurochirurgica. Supplement·Giuseppe Roberto GiammalvaRosario Maugeri
Apr 21, 2020·Journal of Spine Surgery·Mohamed MackiVictor Chang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
T KlubaT Niemeyer
The Journal of the American Academy of Orthopaedic Surgeons
Nelson AsturWilliam C Warner
Korean Journal of Spine
Yeon-Joon KimWoo-Kyung Kim
© 2022 Meta ULC. All rights reserved