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The Journal of Bone & Joint Surgery British Volume
Vol. 85-B, Issue 6 | Pages 875 - 878
1 Aug 2003
Govender S Vlok GJ Fisher-Jeffes N Du Preez CP

We present four patients who had sustained a traumatic dislocation of the atlanto-occipital joint. The diagnosis was initially missed in two patients. One patient, who was neurologically intact, was treated non-operatively. The remaining three recovered neurologically after an occipitocervical fusion. Early recognition of the injury, especially in multiply-injured patients with head injuries, and timely management may improve survival and neurological recovery.