title: Gunshot wound to the upper cervical spine leading to instability.
abstract: Gunshot wounds (GSW) to the cervical spine leading to instability are rare. Also, the presence of vital vascular and neurological structures in the surround area lead to death or severe disability in the vast majority of cases. In this brief report, we present a rare case of C1 fracture due to GSW leading to instability of the atlanto-occipital joint in a neurologically intact patient.
authors.affiliation: Division of Neurosurgery, University of Sao Paulo Medical School Sao Paulo, Brazil.
authors.forename: Wellingson Silva
authors.initials: WS
authors.lastname: Paiva
authors.affiliation: Division of Neurosurgery, University of Sao Paulo Medical School Sao Paulo, Brazil.
authors.forename: Robson Luis
authors.initials: RL
authors.lastname: Amorim
authors.affiliation: Division of Neurosurgery, University of Sao Paulo Medical School Sao Paulo, Brazil.
authors.forename: Djalma Felipe
authors.initials: DF
authors.lastname: Menendez
authors.affiliation: Division of Neurosurgery, University of Sao Paulo Medical School Sao Paulo, Brazil.
authors.forename: Roger Schmidt
authors.initials: RS
authors.lastname: Brock
authors.affiliation: Division of Neurosurgery, University of Sao Paulo Medical School Sao Paulo, Brazil.
authors.forename: Almir Ferreira De
authors.initials: AF
authors.lastname: Andrade
authors.affiliation: Division of Neurosurgery, University of Sao Paulo Medical School Sao Paulo, Brazil.
authors.forename: Manoel Jacobsen
authors.initials: MJ
authors.lastname: Teixeira
keywords: Neck pain; atlanto occipital joint; gunshot wound; trauma
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