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Journal of Trauma and Injury 2014;27(1):1-4.
Missed Detection of an Occipito-atlanto-axial Instability: A Case Report
Shih Min Lee, Kyeong Wook Yoon
Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Chungnam, Republic of Korea. melway@hanmail.net
초기 발견에 실패한 후두-환추-축추 불안전성 환자: 증례보고
이세민, 윤경욱
단국대학교 의과대학 단국대학교병원 신경외과
Received: 11 September 2013   • Revised: 7 November 2013   • Accepted: 23 December 2013
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.
Key Words: Cervical vertebrae; Subluxation; Instability
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