Description

Atlanto-occipital dissociation (AOD) occurs when the skull base becomes separated from the vertebral column. While often fatal it is not invariably so. Schellenberg et al identified factors associated with survival. The authors are from the University of Southern California in Los Angeles.


Patient selection: atlanto-occipital dissociation alive at hospital admission

 

Outcome: survival to hospital discharge (34% discharged home), disability status not specified

 

Parameters:

(1) Glasgow coma score (GCS)

(2) need for exploratory laparotomy

(3) Injury Severity Score (ISS)

(4) head AIS

 

Parameter

Favorable

Neutral

Unfavorable

GCS

5 to 15

4

3

exploratory laparotomy

no

NA

yes

ISS

<= 29

30 to 34

>= 35

head AIS

2

3 or 4

5

after data in Table 1


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