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Pediatric traumatic atlanto-occipital dislocation: five cases and a review.

Publication ,  Journal Article
Kenter, K; Worley, G; Griffin, T; Fitch, RD
Published in: J Pediatr Orthop
2001

Traumatic atlanto-occipital dislocation (AOD) has been thought to be a rare and fatal injury. Recently, more survivors, especially children, have been reported. During a 10-year period, the authors have encountered five children with traumatic AOD. A retrospective review of traumatic AOD in children from 1985 to 1995 was performed. Clinical presentation, initial radiologic findings, and final outcome were emphasized. Distance from the dens to the basion and the ratio of Powers were measured from initial lateral cervical spine radiographs. The average distance from the dens to the basion was 9.8 mm. The average ratio of Powers was 1.38. There were three survivors, two having a concomitant spinal cord injury. All survivors underwent a posterior occipitovertebral fusion. Three cases initially went undiagnosed. The diagnosis of AOD by lateral cervical spine radiographs can be difficult. The authors recommend detailed measurements of the initial cervical spine radiographs in pediatric patients at risk for traumatic AOD.

Duke Scholars

Published In

J Pediatr Orthop

ISSN

0271-6798

Publication Date

2001

Volume

21

Issue

5

Start / End Page

585 / 589

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Radiography
  • Orthopedics
  • Motion Therapy, Continuous Passive
  • Male
  • Joint Dislocations
  • Humans
  • Female
  • Decompression, Surgical
  • Child
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kenter, K., Worley, G., Griffin, T., & Fitch, R. D. (2001). Pediatric traumatic atlanto-occipital dislocation: five cases and a review. J Pediatr Orthop, 21(5), 585–589.
Kenter, K., G. Worley, T. Griffin, and R. D. Fitch. “Pediatric traumatic atlanto-occipital dislocation: five cases and a review.J Pediatr Orthop 21, no. 5 (2001): 585–89.
Kenter K, Worley G, Griffin T, Fitch RD. Pediatric traumatic atlanto-occipital dislocation: five cases and a review. J Pediatr Orthop. 2001;21(5):585–9.
Kenter, K., et al. “Pediatric traumatic atlanto-occipital dislocation: five cases and a review.J Pediatr Orthop, vol. 21, no. 5, 2001, pp. 585–89.
Kenter K, Worley G, Griffin T, Fitch RD. Pediatric traumatic atlanto-occipital dislocation: five cases and a review. J Pediatr Orthop. 2001;21(5):585–589.

Published In

J Pediatr Orthop

ISSN

0271-6798

Publication Date

2001

Volume

21

Issue

5

Start / End Page

585 / 589

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Radiography
  • Orthopedics
  • Motion Therapy, Continuous Passive
  • Male
  • Joint Dislocations
  • Humans
  • Female
  • Decompression, Surgical
  • Child