Traumatic Occipital-Cervical Dislocation in Children and Adolescents: Two Years Follow-up Case Report and Review of the Literature
|Regional Specialized Children’s Hospital, Department of Pediatric Orthopaedic, Zolnierska 18A, 10-561 Olsztyn, Poland|
|Corresponding Author :||Pawel Grabala
Regional Specialized Children’s Hospital
Department of Pediatric Orthopaedic, Zolnierska 18A, 10-561 Olsztyn, Poland
Fax: +48 775466324
E-mail: [email protected]
|Received: September 17, 2015; Accepted: January 21, 2016; Published: January 23, 2016|
|Citation: Grabala P (2016) Traumatic Occipital-Cervical Dislocation in Children and Adolescents: Two Years Follow-up Case Report and Review of the Literature. J Spine 5:281.doi:10.4172/2165-7939.1000281|
|Copyright: © 2016 Grabala P. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: Traumatic occipital-cervical dislocation (OCD) in children and adolescents is a rare and serious injury, which generally leads to death. For those who survive, there are usually severe and permanent neurological deficits.
Purpose: The purpose of this study is to present the case of a 13-year-old boy with OCD, the treatment and results at two years follow-up.
Study design/setting: The study design includes a case report and review of the literature.
Methods: We present a case of OCD survivor, two years of follow-up care, and review of the literature regarding OCD.
Results: A 13-year-old boy was injured in a car accident in 2013. He was admitted to the emergency department with OCD and multiple trauma. After vital signs were stabilized, occipital-cervical spinal fusion was performed. He was discharged home four months after the injury in good general condition, with neurological deficits resulting from the head and spinal cord damage.
Conclusions: OCD in children and adolescents is quite rare and usually fatal. In spite of appropriate treatment (occipital-cervical fusion), the prognosis remains uncertain and at times poor due to irreversible neurological damage. Only a correct prompt diagnosis, along with immediate treatment initiation leads to survival.