Missed Odontoid Fracture Associated to Atlas fracture and Atlanto-Axial Subluxation in a Body Builder. A Brief Technical Review

Abstract

We present the case of a healthy 37-year-old male body builder champion who sustained a significant neck injury after diving into a shallow swimming pool whilst intoxicated during his holiday abroad. His severe cervical injuries were astoundingly missed at the local A&E Department and he was discharged to fly back home on a soft collar and analgesics. He presented to his General Practitioner two weeks later complaining of refractory neck pain and significant neurological signs and symptoms. Following spinal multidisciplinary discussion at the local specialised Unit, halo vest immobilisation was identified as the best treatment option. A 24-week period was required to achieve complete healing of the injuries and full return to normal functionality.