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Atlanto-occipital dislocation
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Atlanto-occipital dislocation : ウィキペディア英語版
Atlanto-occipital dislocation
Atlanto-occipital dislocation, orthopedic decapitation, or internal decapitation describes ligamentous separation of the spinal column from the skull base.
==Mechanism==
The injury is a result of disruption of the stabilizing ligaments between the occiput, or posterior skull base, and the C1 vertebral body, otherwise known as the atlas. The diagnosis is usually suspected by history and physical exam, but confirmed by imaging, typically by CT due to its faster speed in the acute trauma setting, although MRI can also help with assessment in equivocal cases. The treatment is initial stabilization with a cervical spine collar, and then surgical intervention in cases in which reversal of paralysis is possible. The most common mechanism of injury is high-speed motor vehicle accidents. The injury is more likely in children due to the large size of their heads relative to their bodies, and more horizontal orientation of the occipital condyles. It represents <1% of all cervical spine injuries.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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