{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:25:10Z","timestamp":1787754310038,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a 9-month-old girl who was involved in a motor vehicle collision and sustained atlanto-occipital dislocation (AOD), atlantoaxial instability, and a C2 synchondrosis fracture. Initial management with a halothoracic vest for damage control failed to maintain reduction, necessitating definitive posterior occipitocervical fusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Traumatic AOD is a rare injury, most common in children following high-energy trauma. Early diagnosis and timely intervention are imperative for improved clinical outcomes. Even in young patients with small anatomy, with careful preoperative planning, occipitocervical fusion is effective and safe with successful postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00519","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T14:01:48Z","timestamp":1738850508000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Management of a 9-Month-Old Infant with Traumatic Atlanto-occipital Dislocation and Atlantoaxial Instability"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0370-2377","authenticated-orcid":false,"given":"Shannon","family":"Tse","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California Davis, Sacramento, California,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2782-1135","authenticated-orcid":false,"given":"Dagoberto","family":"Pi\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California Davis, Sacramento, California,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1344-0411","authenticated-orcid":false,"given":"Lauren A.","family":"Hisatomi","sequence":"additional","affiliation":[{"name":"California Northstate University College of Medicine, Elk Grove, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1643-0828","authenticated-orcid":false,"given":"Hania","family":"Shahzad","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California Davis, Sacramento, California,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0101-0978","authenticated-orcid":false,"given":"Kendrick","family":"Khoo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California Davis, Sacramento, California,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3515-7405","authenticated-orcid":false,"given":"Kanwar","family":"Parhar","sequence":"additional","affiliation":[{"name":"Elson S. Floyd College of Medicine, Washington State University, Spokane, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9111-9060","authenticated-orcid":false,"given":"Hai V.","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California Davis, Sacramento, California,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1]]},"reference":[{"issue":"11","key":"bib1-20250206","doi-asserted-by":"crossref","first-page":"2385","DOI":"10.1016\/j.spinee.2015.07.003","article-title":"Traumatic atlantooccipital dislocation: comprehensive assessment of mortality, neurologic improvement, and patient-reported outcomes at a Level 1 trauma center over 15 years","volume":"15","author":"Mendenhall","year":"2015","journal-title":"Spine J."},{"issue":"2","key":"bib2-20250206","doi-asserted-by":"crossref","first-page":"ecp1","DOI":"10.3171\/foc.2003.14.2.11","article-title":"Atlantooccipital dislocation in children: presentation, diagnosis, and management","volume":"14","author":"Steinmetz","year":"2003","journal-title":"Neurosurg Focus."},{"issue":"5","key":"bib3-20250206","doi-asserted-by":"crossref","first-page":"274","DOI":"10.5435\/JAAOS-22-05-274","article-title":"Traumatic atlanto-occipital dislocation in children","volume":"22","author":"Astur","year":"2014","journal-title":"J Am Acad Orthop Surg."},{"issue":"1","key":"bib4-20250206","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1055\/s-0031-1298597","article-title":"Pediatric atlanto-occipital dissociation: radiographic findings and clinical outcome","volume":"3","author":"du Plessis","year":"2012","journal-title":"Evid Based Spine Care J."},{"issue":"11","key":"bib5-20250206","first-page":"CASE21712","article-title":"Atlanto-occipital dislocation in a child: a challenging diagnosis. Illustrative case","volume":"3","author":"Garvayo","year":"2022","journal-title":"J Neurosurg Case Lessons."},{"issue":"2","key":"bib6-20250206","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1053\/jpsu.2001.20720","article-title":"Pediatric cervical spine injuries: defining the disease","volume":"36","author":"Patel","year":"2001","journal-title":"J Pediatr Surg."},{"issue":"11","key":"bib7-20250206","first-page":"2480","article-title":"Traumatic atlanto-occipital dislocation in children","volume":"87","author":"Hosalkar","year":"2005","journal-title":"J Bone Joint Surg Am."},{"issue":"1 suppl","key":"bib8-20250206","first-page":"55","article-title":"Long-term maintenance of cervical alignment after occipitocervical and atlantoaxial screw fixation in young children","volume":"105","author":"Anderson","year":"2006","journal-title":"J Neurosurg."},{"issue":"2","key":"bib9-20250206","doi-asserted-by":"crossref","first-page":"236","DOI":"10.5312\/wjo.v6.i2.236","article-title":"Atlanto-occipital dislocation","volume":"6","author":"Hall","year":"2015","journal-title":"World J Orthop."},{"issue":"12","key":"bib10-20250206","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1097\/00007632-199212000-00022","article-title":"Traumatic atlanto-occipital dislocation in a child","volume":"17","author":"Farley","year":"1992","journal-title":"Spine (Phila Pa 1976)."},{"issue":"1","key":"bib11-20250206","doi-asserted-by":"crossref","first-page":"21","DOI":"10.2214\/ajr.137.1.21","article-title":"Traumatic atlantooccipital dislocation with survival","volume":"137","author":"Woodring","year":"1981","journal-title":"AJR Am J Roentgenol."},{"issue":"3 suppl","key":"bib12-20250206","first-page":"346","article-title":"Dual-strap augmentation of a halo orthosis in the treatment of atlantooccipital dislocation in infants and young children. Technical note","volume":"96","author":"Steinmetz","year":"2002","journal-title":"J Neurosurg."},{"issue":"5","key":"bib13-20250206","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1159\/000058434","article-title":"Fracture through the C2 synchondrosis in a young child","volume":"36","author":"Sanderson","year":"2002","journal-title":"Pediatr Neurosurg."},{"issue":"1 suppl","key":"bib14-20250206","first-page":"36","article-title":"Selection of a rigid internal fixation construct for stabilization at the craniovertebral junction in pediatric patients","volume":"107","author":"Anderson","year":"2007","journal-title":"J Neurosurg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00519","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:25:39Z","timestamp":1787750739000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00519"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00519","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}