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The Journal of Bone and Joint Surgery, Vol 61, Issue 2 248-250, Copyright © 1979 by Journal of Bone and Joint Surgery, Inc
The pathological anatomy of fatal atlanto-occipital dislocations
RW Bucholz and WZ Burkhead
Nine atlanto-occipital dislocations were found in postmortem examinations
of 112 victims of multiple trauma. Axial traction facilitated
roentgenographic identification of the injury. A hyperextension mechanism
of injury was suggested by the associated injuries, including submental
lacerations and mandibular fractures. Atlanto-occipital dislocations were
more frequent in children than in adults. A pure dislocation injury without
fracture was identified.

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