Traumatic dislocation of the atlanto-occipital joint

Govender S. ; Vlok G.J. ; Fisher-Jeffes N. ; Du Preez C.P. (2003)


We present four patients who had sustained a traumatic dislocation of the atlanto-occipital joint. The diagnosis was initially missed in two patients. One patient, who was neurologically intact, was treated non-operatively. The remaining three recovered neurologically after an occipitocervical fusion. Early recognition of the injury, especially in multiply-injured patients with head injuries, and timely management may improve survival and neurological recovery.

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