AOD is a potentially survivable injury; however, there may be identifiable subsets of patients where the injury is so severe that treatment is unlikely to change the outcome. This is the first study to show that the ISS and the presence of a complete neurologic injury correlate with nonsurvivability of this devastating injury. A larger case series would help to generalize the results, given the small sample size.

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OCC injuries can be missed even with standardized multidetector CT with multiplanar reconstructions. High-quality normative data used to determine a reliable picture archiving and communication system-based measurement of the OCC anatomy can detect ligamentous injuries initially missed in polytrauma patients.