Early immobilization followed by surgical decompression and stabilization is primordial. Attributable to the kinetic the bone fracture of the Atlas and Axis are commonly related, specially the odontoid process. The disruption of the atlantoaxial ligaments originates the considered most unstable cervical spine lesion and with the highest mortality. The atlantoaxial joint dislocation is a rare condition of the upper cervical spine and is usually secondary to a high-energy traumatism. Case presentationĪ young woman who suffered a severe polytrauma secondary to a motor vehicle collision was diagnosed with a sagittal plane atlantoaxial joint dislocation associated with a type III odontoid fracture, despite an adequate initial polytrauma management, the neurological damage was too critical, ultimately the decease of the patient. Evidently, these have a high morbimortality rate. ![]() The dislocation of the atlantoaxial joint causes an unstable cervical spine that could be often associated with fracture of the Atlas and Axis. ![]() The neurological structures can be affected by a primary injury, spinal cord, cranial nerves and spinal nerves or secondary to a vascular compromise, mainly the vertebral arteries. ![]() The potential injuries to vital organs associated to a possible neurological damage marks the severity of this pathology. Traumatic upper cervical spine injuries are frequently associated with high-energy trauma.
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