alexa Traumatic Occipital-Cervical Dislocation in Children an
ISSN: 2165-7939

Journal of Spine
Open Access

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Case Report

Traumatic Occipital-Cervical Dislocation in Children and Adolescents: Two Years Follow-up Case Report and Review of the Literature

Pawel Grabala*
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
Tel: +48787111100
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.
 

Abstract

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.

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