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A two-year-old girl riding in an automobile was involved in a low-speed collision in which the air bags deployed. At the time of the crash she was sitting unrestrained in the front passenger seat. She was apneic and unresponsive before the ambulance arrived. She was intubated at the scene, and resuscitation was instituted according to established guidelines. Except for numerous neck abrasions and burns, no other overt injuries were apparent on physical examination. A radiograph of the lateral cervical spine showed atloido-occipital dislocation (arrowheads), with a 4-cm gap between the occipital condyle and the superior articular facet of the atlas. . . . [Full Text of this Article] |