Why is an Alanto-occiptial dislocation aka internal decapitation almost always fatal even if you make it to hospital?

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Why is an Alanto-occiptial dislocation aka internal decapitation almost always fatal even if you make it to hospital?

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The primary reason is that it’s very hard to recognize initially, and many people don’t realize that you shouldn’t move someone with a neck/spine injury if it can be helped. Even slightly moving someone with this specific injury can hurt the spinal cord more, and possibly sever or damage it to the point that the victim is unable to breathe.

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