J Korean Soc Traumatol.
2014 Mar;27(1):1-4.
Missed Detection of an Occipito-atlanto-axial Instability: A Case Report
- Affiliations
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- 1Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Chungnam, Republic of Korea. melway@hanmail.net
Abstract
- Occipito-atlanto-axial subluxation is a type of high cervical injury. Misdiagnosis of this instability might cause several complications, including neurologic deficits. A radiologic evaluation must be performed and specific parameters that imply cervical instability must be confirmed. Full understanding of these parameters may prevent not only delayed diagnosis but also unexpected complication. We report a case of delayed detection of a cervical instability and emphasize the role of proper diagnosis.