Atlanto-occipital dissociation

Vachata, Petr; Bolcha, Martin; Lodin, Jan; Sameš, Martin

doi:10.33699/pis.2020.99.1.22-28

Cited by 2 publications

(4 citation statements)

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“…We found two studies about HF therapy for AOD. Vachata et al [ 48 ] reported that “two patients were in severe neurological states, with lesions of the upper cervical spinal cord and medulla oblongata on MRI, these patients were treated with external HF and died within 3 days of the trauma” [ 48 ]. In contrast, Able et al recently reported that treatment with HF was a safe, viable, and definitive treatment option for selected children with AOD [ 1 ].…”

Section: Resultsmentioning

confidence: 99%

“…AOD is a devastating injury with high mortality, usually caused by high energy trauma [ 5 , 40 , 48 ]. Traction should be avoided because of the risk of deterioration [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…Traction should be avoided because of the risk of deterioration [ 45 ]. The definitive treatment of traumatic AOD remains controversial, but a widely held view is that all patients with AOD should be treated with early surgical fusion (internal dorsal fixation and arthrodesis) [ 5 , 45 , 48 ]. In contrast to this opinion, external immobilization with HF on a small group of eight patients was found to be viable, safe and effective [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

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Use of halo fixation therapy for traumatic cranio-cervical instability in children: a systematic review

Banat

Vychopen

Wach

et al. 2021

Eur J Trauma Emerg Surg

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Purpose Traumatic cranio-cervical instability in childhood is rare and constitutes a challenge for the treating surgeon. The aim of therapy is to restore cervical stability without limiting the range of motion. The goal of this systematic review was to find out whether, over the last 10 years, halo fixation (HF) could still be considered a successful treatment option without major risks or complications. Methods We analyzed studies describing the use of HF in traumatic injuries of the cranio-cervical junction in children under the age of 17. Searches were performed in PubMed, MEDLINE and Embase databases for the years from 2010 to 2020. The general success rate, the success rate related to underlying pathologies, and complication rates were evaluated. Results The main indications for HF range from pre-surgical correction to postoperative fusion support. C2 is the most frequently injured vertebra in children. The overall success rate of HF was very high. Evaluation according to the underlying pathology showed that, except for atlanto-occipital dislocation, HF generates high fusion rates among different patient cohorts, mainly in C2 vertebra injuries and atlantoaxial rotatory subluxation. Only minor complications were reported, such as pin infections. Conclusion The current data show that, when used according to the appropriate indication, HF is an effective conservative treatment option for cranio-cervical instability, associated with only minor complications.

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Section: Resultsmentioning

confidence: 99%

“…AOD is a devastating injury with high mortality, usually caused by high energy trauma [ 5 , 40 , 48 ]. Traction should be avoided because of the risk of deterioration [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Use of halo fixation therapy for traumatic cranio-cervical instability in children: a systematic review

Banat

Vychopen

Wach

et al. 2021

Eur J Trauma Emerg Surg

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“…2 Its initial presentation can be difficult to diagnose, and its consequences can lead to severe neurological damage. 3 In this case report, we present the unusual outcome of a patient who developed locked-in syndrome as a result of a rare craniocervical dislocation associated with traumatic atlanto-axial subluxation.…”

Section: Introductionmentioning

confidence: 97%

Locked-in Syndrome After Traumatic Atlantoaxial Subluxation: A Case Report

Santos

COSTA

2022

Coluna/Columna

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Traumatic atlanto-axial subluxation is a rare and underdiagnosed condition due to its high rate – reported to be between 60 and 80% – of early mortality. Its diagnosis takes into account the trauma mechanism, precise analyses of the imaging tests and the clinical presentation of the patient. This article describes a rare presentation of atlanto-axial subluxation associated with craniocervical dislocation as a case of locked-in syndrome. Level of evidence V; Retrospective observational study – Case report.

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Atlanto-occipital dissociation

Cited by 2 publications

References 0 publications

Use of halo fixation therapy for traumatic cranio-cervical instability in children: a systematic review

Use of halo fixation therapy for traumatic cranio-cervical instability in children: a systematic review

Locked-in Syndrome After Traumatic Atlantoaxial Subluxation: A Case Report

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