Traumatic atlanto-axial fracture disclocation in a child.
An 18-month-old child was rendered tetraplegic below C6 in a road traffic accident. There was an associated fracture-dislocation of the atlanto-axial joint. Early management, and the probable role of autonomic dysreflexia in increasing the neurological deficit are considered.
D000063:Accidents, Traffic; D001368:Axis, Cervical Vertebra / Q000293:injuries*; D001270:Cervical Atlas / Q000293:injuries*; D003654:Deceleration; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D004204:Joint Dislocations / Q000000981:diagnostic imaging*; D011782:Quadriplegia / Q000000981:diagnostic imaging; D011859:Radiography; D013119:Spinal Cord Injuries / Q000000981:diagnostic imaging