Temporary occipito-cervical stabilization of a unilateral occipital condyle fracture.
Summary of "Temporary occipito-cervical stabilization of a unilateral occipital condyle fracture."
INTRODUCTION:
Injuries of the occipital condyles are rare. While the majority of occipital condyle fractures can be treated conservatively, surgery is recommended in craniocervical misalignment and instability. Open reduction and temporary occipito-cervical stabilization might be an alternative to fusion or halo treatment. MATERIALS AND
METHODS:
This Grand Round case presentation describes temporary C0-C3 stabilization in a 29-year-old man who was involved in a car accident. Radiological examination revealed a rotational burst fracture (type AO C3.1) of C7, and a slight displaced right occipital condyle fracture (Anderson/Montesano type III) with rotational misalignment of the C0-C2 complex.
RESULTS:
The C7 fracture was stabilized and fused from anterior and posterior. The occipital condyle fracture was reduced and temporarily stabilized from C0-C3 from posterior. Bony healing occurred after 6 months and consequently the internal fixator was removed to preserve upper cervical mobility.
Affiliation
BG Unfallklinik Frankfurt am Main, Center for Spinal Surgery and Neurotraumatology, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany, klaus.schnake@bgu-frankfurt.de.
Journal Details
This article was published in the following journal.
Name: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the Euro
ISSN: 1432-0932
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22531894
- DOI: http://dx.doi.org/10.1007/s00586-012-2275-2
Medical and Biotech [MESH] Definitions
Prosopagnosia
The inability to recognize a familiar face or to learn to recognize new faces. This visual agnosia is most often associated with lesions involving the junctional regions between the temporal and occipital lobes. The majority of cases are associated with bilateral lesions, however unilateral damage to the right occipito-temporal cortex has also been associated with this condition. (From Cortex 1995 Jun;31(2):317-29)
Platybasia
A developmental deformity of the occipital bone and upper end of the cervical spine, in which the latter appears to have pushed the floor of the occipital bone upward. (Dorland, 27th ed)
Bone Plates
Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)
Monteggia's Fracture
Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.
Fracture Fixation
The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.
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