Non-operative treatment of atlanto-occipital incongruity following high energy trauma: a case report.

ABSTRACT:

Background

Traumatic occipitocervical dislocations (OCDs) are rare and potentially devastating injuries, and delayed diagnosis and management is a well-known risk factor for poor outcomes in high energy trauma. Early surgical stabilization has been shown to improve outcomes and neurologic recovery in these patients. We present a case of incongruent atlanto-occipital (O-C1) joints found on post-operative computed tomography (CT) imaging following C1-C2 fusion. This patient was treated non-operatively in a cervical collar (C-collar) after traction testing revealed no dynamic instability.

Case description

A 19-year-old male with history of obesity was involved in a high-speed motor vehicle collision (MVC). On arrival, he had elevated troponins but otherwise normal laboratory wo

SUBMITTER: Bunzel EW 

PROVIDER: S-EPMC10364009 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature