Traumatic anterior atlanto-occipital dislocation

Neurosurgery. 1979 Jan;4(1):12-7. doi: 10.1227/00006123-197901000-00004.


The five cases of atlanto-occipital dislocation reported in the world literature are reviewed, and four additional cases are presented, including two survivors. The pathological anatomy of this potentially catastrophic injury and its management are briefly discussed. Because immediate recognition of the atlanto-occipital dislocation is critical to proper treatment and because the neurological findings are extremely varied, a new radiographic criterion for its identification has been developed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Atlanto-Occipital Joint / injuries*
  • Braces
  • Cervical Vertebrae / diagnostic imaging
  • Child
  • Child, Preschool
  • Female
  • Fracture Fixation
  • Humans
  • Joint Dislocations / complications
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / etiology*
  • Joint Dislocations / therapy
  • Male
  • Radiography
  • Traction / methods