Management of a 9-Month-Old Infant with Traumatic Atlanto-occipital Dislocation and Atlantoaxial Instability: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2025-02-06 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00519

Shannon Tse, Dagoberto Piña, Lauren A Hisatomi, Hania Shahzad, Kendrick Khoo, Kanwar Parhar, Hai V Le

引用次数: 0

Abstract

Case: We report a 9-month-old girl who was involved in a motor vehicle collision and sustained atlanto-occipital dislocation (AOD), atlantoaxial instability, and a C2 synchondrosis fracture. Initial management with a halothoracic vest for damage control failed to maintain reduction, necessitating definitive posterior occipitocervical fusion.

Conclusion: Traumatic AOD is a rare injury, most common in children following high-energy trauma. Early diagnosis and timely intervention are imperative for improved clinical outcomes. Even in young patients with small anatomy, with careful preoperative planning, occipitocervical fusion is effective and safe with successful postoperative outcomes.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.