| Combined traumatic occiput-C1 and C1-C2 dissociation: 2 case reports. | |
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MedLine Citation:
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PMID: 20882205 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Occiput-C1 and C1-C2 dissociations and dislocations have been well documented in the literature. However, after thorough review of the literature, we found very little in the literature regarding combined occiput-C1 and C1-C2 dissociations in adults who survived. We present 2 case reports describing the clinical presentation, initial management, operative treatment, and postoperative course of 2 patients who sustained traumatic combined occiput-C1 and C1-C2 dissociations. After initial stabilization, both patients underwent open reduction and posterior occipital-cervical fusion with segmental fixation. At recent follow-up, both patients maintain good sagittal alignment without loss of reduction, and they have radiographic progression to fusion, minimal pain, and improved neurologic function. Combined occiput-C1 and C1-C2 dissociations are rare but serious injuries. Incomplete dissociations may not be evident on initial radiographs. Computed tomography or magnetic resonance imaging is recommended for formal diagnosis. A traumatic dural tear may be present. We recommend open reduction and posterior occipital-cervical fusion with segmental fixation for these patients. |
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Authors:
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Stephen Gould; Shuriz Hishmeh; Bart McKinney; Mark Stephen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of orthopedics (Belle Mead, N.J.) Volume: 39 ISSN: 1934-3418 ISO Abbreviation: Am J. Orthop. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-09-30 Completed Date: 2011-01-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9502918 Medline TA: Am J Orthop (Belle Mead NJ) Country: United States |
Other Details:
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Languages: eng Pagination: 392-5 Citation Subset: IM |
Affiliation:
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Department of Orthopaedics, Stony Brook University Medical Center, NY 11794, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Cervical Vertebrae / injuries*, radiography, surgery Dislocations / radiography, surgery* Female Fracture Fixation / methods Fracture Healing Humans Male Middle Aged Multiple Trauma Occipital Bone / injuries*, radiography, surgery Spinal Fusion / methods Spinal Injuries Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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