Upper cervical (craniocervical) trauma: diagnosis & management. The presentation was done in 2006.

1. Upper Cervical Trauma Sohail Bajammal, MBChB, MSc November 14, 2006 St. Joseph’s Healthcare, Hamilton Weekly Orthopaedic Teaching Rounds

2. Upper Cervical Trauma a.k.a. Cranio-cervical Trauma Occipito-cervical Trauma Occipito-atlanto-axial Trauma

6. Anatomy

8. Courtesy of AnatomyTV

16. Ponticulus Posticus

17. Ponticulus Posticus

18. X-rays

20. Lateral C-spine

21. Harris Lines SAC: > 13 mm

23. Open-mouth View

26. Traynelis Classification of Occipito-cervical Dissociation

32. Plough Fracture

35. Rotatory Atlanto-Axial Instability Collar or Halo C1-C2 Fusion

44. Anterior Odontoid Screw

46. Hangman's Fracture Effendi  Levine & Edwards Classification

49. Type IA Hangman’s

53. Posterior C1-2 Fusion Gallie Technique

54. Posterior C1-2 Fusion Brooks-Jenkins technique

55. C1–C2 Transarticular Screw Fixation Magerl technique

56. Finally.. It’s over!