Abel TJ, Yan H, Canty M, Remick M, Dewan M, Witiw C, Lamberti-Pasculi M, Drake JM. Traumatic atlanto-occipital dislocation in children: is external immobilization an option? Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 2020 Jun 9. PMID: 32519132 [PubMed]
Traumatic atlanto-occipital dislocation (AOD) is a relatively uncommon traumatic cervical spine injury characterized by disruption and instability of the atlanto-occipital joint. At many centers, management of pediatric AOD includes occipitocervical arthrodesis, but whether external immobilization without surgery is a viable treatment option for some pediatric patients is unknown. To answer this question, we analyzed our outcomes of pediatric AOD at the Hospital for Sick Children.