PMID- 30095471
OWN - NLM
STAT- MEDLINE
DCOM- 20191111
LR  - 20191111
IS  - 2160-3251 (Electronic)
IS  - 2160-3251 (Linking)
VI  - 8
IP  - 3
DP  - 2018 Jul-Sep
TI  - Traumatic Atlanto-Occipital Dissociation and Atlantoaxial Instability: 
      Concomitant Ligamentous Injuries without Neurologic Deficit: A Case Report.
PG  - e62
LID - 10.2106/JBJS.CC.18.00021 [doi]
AB  - CASE: A 35-year-old man was involved in a motor-vehicle collision and sustained 
      multiple thoracoabdominal and extremity injuries. A high injury burden and a 
      normal neurologic examination contributed to a delay in diagnosing a ligamentous, 
      combined atlanto-occipital dissociation (AOD) and vertical atlantoaxial injury 
      (AAI). Additional imaging revealed the combined injury, and the patient underwent 
      an occipitocervical fusion. CONCLUSION: To our knowledge, this is the first case 
      of a simultaneous traumatic AOD and AAI without fracture in a neurologically 
      intact patient. Knowledge of reliable and easily applied radiographic 
      relationships is important to expeditiously diagnose potentially lethal yet 
      easily overlooked occipitocervical injuries.
FAU - Tobert, Daniel G
AU  - Tobert DG
AD  - Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, 
      Boston, Massachusetts.
FAU - Ferrone, Marco L
AU  - Ferrone ML
AD  - Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, 
      Massachusetts.
FAU - Czuczman, Gregory J
AU  - Czuczman GJ
AD  - Radiology Imaging Associates, Englewood, Colorado.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - JBJS Case Connect
JT  - JBJS case connector
JID - 101596828
SB  - IM
MH  - Accidents, Traffic
MH  - Adult
MH  - Axis, Cervical Vertebra/diagnostic imaging/*injuries/surgery
MH  - Cervical Atlas/diagnostic imaging/*injuries/surgery
MH  - Humans
MH  - Ligaments, Articular/diagnostic imaging/*injuries
MH  - Male
MH  - *Multiple Trauma
MH  - Spinal Fusion
EDAT- 2018/08/11 06:00
MHDA- 2019/11/12 06:00
CRDT- 2018/08/11 06:00
PHST- 2018/08/11 06:00 [pubmed]
PHST- 2019/11/12 06:00 [medline]
PHST- 2018/08/11 06:00 [entrez]
AID - 10.2106/JBJS.CC.18.00021 [doi]
PST - ppublish
SO  - JBJS Case Connect. 2018 Jul-Sep;8(3):e62. doi: 10.2106/JBJS.CC.18.00021.