Occipitocervical dissociation: A narrative review and case series with a novel management algorithm proposal

Ignacio Cirillo; Sebastián Blanco; Guillermo Ricciardi; Alfredo Guiroy; Charles Carazzo; ZAMORANO PÉREZ, JUAN JOSÉ; Joaquim Andrei Fernandes

doi:10.4103/jcvjs.jcvjs_29_26

Occipitocervical dissociation: A narrative review and case series with a novel management algorithm proposal

Journal

Journal of Craniovertebral Junction and Spine

ISSN

0974-8237

Date Issued

2026-03

Author(s)

Ignacio Cirillo

Sebastián Blanco

Guillermo Ricciardi

Alfredo Guiroy

Charles Carazzo

ZAMORANO PÉREZ, JUAN JOSÉ

Facultad de Medicina Clínica Alemana Universidad del Desarrollo

Joaquim Andrei Fernandes

Type

journal-article

DOI

10.4103/jcvjs.jcvjs_29_26

URL

https://hdl.handle.net/123456789/12292

Abstract

Occipitocervical dissociation refers to dislocation or subluxation of the occipitocervical region. It is a rare injury caused by high-energy trauma that may go unnoticed. It is usually associated with vascular injuries and can lead to catastrophic outcomes. Computed tomography is the imaging modality of choice due to its wide availability and routine use in initial trauma assessment. Magnetic resonance imaging is essential for accurately identifying and characterizing ligamentous injuries. Numerous classifications and measurements are available for diagnosis, and all remain valid today. It requires urgent treatment to prevent additional injury.