Sex/Age (Year)

Occurrence

Symptoms

Radiology

Treatment

Outcome

1

Man/40

Fall of heavy load on head

Tetraplegia (1/5), high fever of central origin, diaphragmatic breathing.

C1C2 dislocation, transverse ligament rupture and rostral spinal cord contusion with edema toward medulla oblongata

C1C2 Wiring

Complete recovery. Normal gait

2

Man/32

Rollover motor vehicle accident (Unrestrained passenger).

Left brachial deficit (2/5)

C1C2 dislocation with fracture of anterior arch of C1 left lateral process of C2 and rupture of transverse ligament.

C1C2 wiring

Complete recovery.

3

Man/28

Rollover motor vehicle accident (Unrestrained driver)

Polytrauma

(After management of the polytrauma) right brachial monoplegia

C1C2 dislocation with odontoid fracture.

Conservative management (cervical collar)

Persistent right brachial monoplegia

4

Man/22

Road traffic accident (Motorcycle)

Absence of deficit then quadriplegia

after 2 months (time of his admission on our department)

C1C2 dislocation with odontoid fracture (Anderson d’Alonzo type III) with huge displacement

Conservative management

Complete recovery despite a great compression of spinal cord on MRI

5

Man/33

Road traffic accident (Motorcycle)

Cervical pain

Odontoid fracture. (Anderson D’Alonzo type II) without displacement

Patient refused surgery: Conservative treatment (cervical collar: patient removed the collar)

Secondary dislocation (patient refused surgery)

6

Man/33

Road traffic accident (Motorcycle)

Cervical pain

C1C2 dislocation with odontoid fracture

Patient refused surgery. Conservative management (cervical collar)

Favorable outcome then lost to follow up.

7

Woman/33

Road traffic accident (Motorcycle)

Cervical pain with quadriplegia

C1C2 dislocation

C1C2 Screwing (Goel-Harms technique)

Complete recovery