Traumatic posterior atlantooccipital dislocation with Jefferson and occipital condyle fractures: A case report
| Autor: | Jong-Beom Park, Dong-Gune Chang, Kwang Hyun Cho |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Joint Dislocations Atlantooccipital dislocation 03 medical and health sciences Jefferson fracture 0302 clinical medicine X ray computed medicine Humans 030212 general & internal medicine Clinical Case Report Orthodontics atlantooccipital dislocation business.industry upper cervical injury General Medicine Middle Aged Occipital condyle medicine.anatomical_structure Spinal Fusion 030220 oncology & carcinogenesis Occipital Bone Spinal Fractures occipital condyle fracture business Tomography X-Ray Computed Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Rationale: To the best of our knowledge, this is the first report on a case of a traumatic posterior atlantooccipital dislocation (AOD) with 3-part Jefferson and occipital condyle fractures. Patient concerns: We report the case of a 60-year-old male with posterior AOD with 3-part Jefferson fracture and fracture of right occipital condyle. This injury occurred as a result of rolling down from a mountain. The patient complained of severe neck pain showing bony tenderness and ecchymosis in the high cervical area but did not show any neurologic abnormalities. Diagnoses: Reconstructed computed tomography scans clearly demonstrated a 3-part Jefferson fracture and fracture of right occipital condyle, and posteriorly displaced occiput with respect to the anterior arch of C1 and dens of C2. Intervention: We planned to perform occipitocervical fusion; however, the patient refused treatment. He was transferred to another hospital and lost to follow-up. Outcomes: Although extremely rare, patient who had posterior AOD with 3-part Jefferson and occipital condyle fractures can survive without neurological compromise, as was observed in our patient. Lessons: Clinical suspicion with thorough radiographic and physical examinations are very important for diagnosing of the upper cervical spine injuries such as AOD with Jefferson and occipital condyle fractures. |
| Databáze: | OpenAIRE |
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