Case reports: Atlantooccipital and atlantoaxial traumatic dislocation in a child who survived.
A 4-year-old child with multilevel spinal injury including atlantooccipital and atlantoaxial dislocation, and thoracic spinal fractures was managed nonoperatively with no significant sequelae from the cervical injuries, but persistent paraplegia from the associated thoracic spinal fractures. Although treatment guidelines cannot be established with the result of one case, we propose an algorithm for treatment of such a rare and severe situation.
Violas
Philippe
P
Service de Chirurgie Pédiatrique, CHRU Pontchaillou, Rennes, France. pviolas@hotmail.com
Ropars
Mickael
M
Doumbouya
Naman
N
Bracq
Henri
H
D000063:Accidents, Traffic; D001268:Atlanto-Axial Joint / Q000293:injuries*; D001269:Atlanto-Occipital Joint / Q000293:injuries*; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000628:therapy; D019637:Orthopedic Procedures / Q000379:methods*; D016103:Spinal Fractures / Q000175:diagnosis / Q000628:therapy; D013904:Thoracic Vertebrae / Q000293:injuries; D014057:Tomography, X-Ray Computed