Mueller, Franz Josef and Kinner, Bernd and Rosskopf, Michael and Neumann, Carsten and Nerlich, Michael and Fuechtmeier, Bernd (2013) Incidence and outcome of atlanto-occipital dissociation at a level 1 trauma centre: a prospective study of five cases within 5 years. EUROPEAN SPINE JOURNAL, 22 (1). pp. 65-71. ISSN 0940-6719,
Full text not available from this repository. (Request a copy)Abstract
Prospective evaluation of atlanto-occipital dissociations (AODs) at a level 1 trauma centre within 5 years. Over a period of 5 years (2005-2009), all CT scans of the skull base and the upper cervical spine due to traumatic injuries were prospectively entered into a database. Furthermore, in cases of confirmed AOD all empirical data were prospectively collected. A more detailed data analysis of all AOD patients was conducted 2 years post-trauma. If required, another prospective follow-up was performed. 2,616 CT scans were performed in total. Out of these, there were five male patients with confirmed AOD. Thus, the total incidence was 0.2 %. AOD was associated with occipital condyle fractures in three out of the five cases. Three out of five patients (60 %) died due to the severity of the injury. It was possible to stabilise two patients surgically with a clinical/radiological follow-up 2 years post-surgery. At that time, one patient had an incomplete tetraplegia and was wheelchair ridden without needing ventilation, while the other patient suffered from post-traumatic stress disorder, but was able to walk and live alone. AOD is a rarely seen injury, even in a level 1 trauma centre, and is associated with high morbidity and mortality. However, it is possible for adults to survive this severe occipito-cervical injury after surgical repair while maintaining the ability to walk. All the results and recommendations are still based on a low level of evidence, due to the low incidence of this injury.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | OCCIPITOVERTEBRAL RELATIONSHIPS; OCCIPITOATLANTAL DISLOCATION; RADIOLOGIC-DIAGNOSIS; LATERAL RADIOGRAPHS; SUPINE SUBJECTS; INJURIES; SURVIVORS; NECK; JUNCTION; Atlanto-occipital dissociation; Surgery; Outcome |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 Apr 2020 11:10 |
| Last Modified: | 29 Apr 2020 11:10 |
| URI: | https://pred.uni-regensburg.de/id/eprint/17511 |
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