scholarly journals Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical Treatment

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Takeshi Suzuki ◽  
Satoshi Maki ◽  
Masaaki Aramomi ◽  
Tomonori Yamauchi ◽  
Manato Horii ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Facet Joint ◽  
Atlantoaxial Instability ◽  
Occipital Condyle ◽  
Asian Woman ◽  
Atlantoaxial Joint ◽  
Occipitocervical Fusion ◽  
Occipital Condyle Fracture ◽  
Condyle Fracture

An occipital condyle fracture (OCF) is a relatively rare trauma that is now increasingly diagnosed because of the wide availability of computed tomography. For nondisplaced OCFs, conservative treatment is generally recommended, and there is no previous report of a nondisplaced OCF requiring surgery. We report a patient who had a nondisplaced OCF with craniocervical misalignment (a condyle-C1 interval > 2.0 mm) and C1-C2 translation treated with a halo vest and occipitocervical fusion surgery. An 87-year-old Asian woman fell from a 4-meter height and hit her head. She was transferred to our emergency room. Computed tomography revealed a nondisplaced impaction OCF with a 2.5 mm occipital condyle-C1 interval and a 5 mm C1-C2 translation. The fracture pattern was considered stable. However, since craniocervical misalignment and C1-C2 translation were present, the patient was placed in a halo device, and we reduced the occipitoatlantoaxial joint, adjusting the halo ring position preoperatively. Confirming reduction of the atlantooccipital facet joint and the atlantoaxial joint by computed tomography, we performed an occipitocervical fusion. This is the first report of a nondisplaced OCF with craniocervical misalignment and C1-C2 translation that required surgical treatment. Clinicians should be aware of craniocervical misalignment and atlantoaxial instability even in Tuli type 1 OCFs.

Three-Dimensional Computed Tomography in Evaluation of Occipital Condyle Fracture

1989 ◽  
Vol 3 (1) ◽  
pp. 71-75 ◽  
Author(s):  
Edward R. Savolaine ◽  
Nabil A. Ebraheim ◽  
W. Thomas Jackson ◽  
Joseph J. Rusin
Keyword(s):  
Computed Tomography ◽  
Three Dimensional ◽  
Occipital Condyle ◽  
Occipital Condyle Fracture ◽  
Condyle Fracture

Occipital condyle fracture—A rare but severe injury in cranial fracture patients

2021 ◽  
Author(s):  
Henri Lassila ◽  
Tero Puolakkainen ◽  
Tuomas Brinck ◽  
Michael Wilson ◽  
Johanna Snäll
Keyword(s):  
Severe Injury ◽  
Occipital Condyle ◽  
Occipital Condyle Fracture ◽  
Condyle Fracture

scholarly journals Occipital condyle fracture in a patient with neck pain

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Muhammad Waseem ◽  
Ruchi Upadhyay ◽  
Husayn Al-Husayni ◽  
Samuel Agyare
Keyword(s):  
Neck Pain ◽  
Occipital Condyle ◽  
Occipital Condyle Fracture ◽  
Condyle Fracture

scholarly journals Observational study of patients with occipital condyle fracture at a brazilian referral trauma center

2021 ◽  
Vol 48 ◽  
Author(s):  
ANDREW VINÍCIUS DE SOUZA BATISTA ◽  
GUILHERME BRASILEIRO AGUIAR ◽  
PRISCILLA BENNETT ◽  
MÁRCIA RAMOS UMIGI ◽  
JOSÉ CARLOS ESTEVES VEIGA
Keyword(s):  
Observational Study ◽  
Trauma Center ◽  
Traffic Accidents ◽  
Cervical Collar ◽  
Occipital Condyle ◽  
Occipital Condyle Fracture ◽  
Condyle Fracture ◽  
Occipital Condyle Fractures ◽  
Type 3 ◽  
Epidemiological Characteristics

ABSTRACT Objective: to evaluate the clinical-epidemiological characteristics, treatment, and evolution of patients with occipital condyle fracture (OCF) at one of the largest referral trauma centers in Latin America. Methods: this was a retrospective observational study of OCF identified from trauma cases admitted between December 2011 and December 2019 by the neurosurgery team at a Type 3 trauma center. Results: a total of twenty-eight occipital condyle fractures were identified in twenty-six patients. The incidence was less than 0.2% per year and more common in male patients (4:1 ratio) involved in traffic accidents. The mean age was 42.08 years. Anderson and Montesano type II and Tuli type 1 were the most frequent (67.9% and 89.3%, respectively) and no case presented C0-C1-C2 instability. All patients were treated with a cervical collar for 3 to 6 months. About 65% of the patients exhibited good progression (Glasgow Outcome Scale equal to 4), and the severity of traumatic brain injury was the main determinant for negative outcomes. Conclusion: the findings of this study are in accordance with available literature data. The use of external stabilization with a cervical collar is reinforced for the treatment of stable lesions, even when these are bilateral. Assessment of the patients’ follow-up results in the studied sample may contribute with useful information for the treatment of occipital condyle fractures.

scholarly journals Unstable odontoid fractures: technical appraisal of anterior extrapharyangeal open reduction internal fixation for irreducible unstable odontoid fractures. Patient series

2021 ◽  
Vol 2 (20) ◽  
Author(s):  
Sushil Patkar
Keyword(s):  
Open Reduction ◽  
Facet Joint ◽  
Open Reduction Internal Fixation ◽  
Atlantoaxial Instability ◽  
Rigid Fixation ◽  
Atlantoaxial Joint ◽  
Fracture Fragment ◽  
Odontoid Fractures ◽  
Atlantoaxial Fixation ◽  
Displaced Fracture

BACKGROUND Displaced odontoid fractures that are irreducible with traction and have cervicomedullary compression by the displaced distal fracture fragment or deformity caused by facetal malalignment require early realignment and stabilization. Realignment with ultimate solid fracture fusion and atlantoaxial joint fusion, in some situations, are the aims of surgery. Fifteen such patients were treated with direct anterior extrapharyngeal open reduction and realignment of displaced fracture fragments with realignment of the atlantoaxial facets, followed by a variable screw placement (VSP) plate in compression mode across the fracture or anterior atlantoaxial fixation (transarticular screws or atlantoaxial plate screw construct) or both. OBSERVATIONS Anatomical realignment with rigid fixation was achieved in all patients. Fracture fusion without implant failure was observed in 100% of the patients at 6 months, with 1 unrelated mortality. Minimum follow-up has been 6 months in 14 patients and a maximum of 3 years in 4 patients, with 1 unrelated mortality. LESSONS Most irreducible unstable odontoid fractures can be anatomically realigned by anterior extrapharyngeal approach by facet joint manipulation. Plate (VSP) and screws permit rigid fixation in compression mode with 100% fusion. Any associated atlantoaxial instability can be treated from the same exposure.

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