Occipital condylar avulsion fractures in the acute trauma setting: Stable or unstable injury?

Fiester, Peter; Rao, Dinesh; Soule, Erik; Rahmathulla, Gazanfar

doi:10.1007/s00586-021-06949-3

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…It often occurs in the setting of polytraumatic injuries of variable mechanisms such as axial compression and/or distraction or lateral skull compression, making it difficult for clinician to manage. Furthermore, it is anatomically located adjacent to many vitally important structures such as medulla oblongata and their neurovascular structures, cranial nerves controlling airways, and cranial venous sinuses [8]. Therefore, varying degrees of clinical symptoms are presented from fatal injuries to clinically dormant situations.…”

Section: Discussionmentioning

confidence: 99%

Management of a traumatic avulsion fracture of the occipital condyle in polytrauma patient in Korea: a case report

et al. 2023

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Avulsion fracture of the occipital condyle are rare lesion at craniovertebral junction. It is often related to high-energy traumatic injuries and show diverse clinical presentations. Neurologic deficit and instabilities may justify surgical treatment. However, the integrity of neurovascular structures is undervalued in the current literatures. In this case report, we described a 26-year-old female patient with avulsion fracture of occipital condyle following a traffic accident. On initial presentation, her Glasgow Coma Scale was 8. She presented with fracture compound comminuted depressed, on the left side of her forehead with skull base fracture extending into clivus and occipital condyle. Her left occipital condyle showed avulsion injury with displacement deep into the skull base. On her computed tomography angiography, the displaced occipital condyle compressed on the sigmoid sinus resulting in its obstruction. While she was recovering her consciousness during her stay in the hospital, the lower cranial nerves showed dysfunctions corresponding to Collet-Sicard syndrome. Due to high risk of vascular injury, the patient was conservatively treated for the occipital condyle fracture. On the 4 months postdischarge follow-up, her cranial nerve symptoms practically recovered, and the occipital condyle showed signs of fusion without further displacement. Current literatures focus on neurologic deficit and stability for the surgical decisions. However, it is also important to evaluate the neurovascular integrity to assess the risk of its manipulation as it may result in fatal outcome. This case shows, an unstable avulsion occipital condyle fracture with neurologic deficit can be treated conservatively and show a favorable outcome.

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Section: Discussionmentioning

confidence: 99%

Management of a traumatic avulsion fracture of the occipital condyle in polytrauma patient in Korea: a case report

et al. 2023

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“…Most avulsion fractures of the pediatric spine occur in levels C0-C2, being avulsions of craniocervical ligaments, the alar ligament in particular [32][33][34]. The alar ligament may avulse from its origo in the occipital condyle (Figure 4) or its insertion in the dens.…”

Section: Avulsion Fracturesmentioning

confidence: 99%

Emergency MRI in Spine Trauma of Children and Adolescents—A Pictorial Review

et al. 2023

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Severe spinal trauma is uncommon in the pediatric population, but due to the potentially devastating consequences of missed injury, it poses a diagnostic challenge in emergency departments. Diagnostic imaging is often needed to exclude or confirm the injury and to assess its extent. Magnetic resonance imaging (MRI) offers an excellent view of both bony and soft tissue structures and their traumatic findings without exposing children to ionizing radiation. Our pictorial review aims to demonstrate the typical traumatic findings, physiological phenomena, and potential pitfalls of emergency MRI in the trauma of the growing spine.

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Clinical Diagnosis and Treatment of 43 Cases of Occipital Condylar Fractures: A Single-Center Retrospective Study

Zhang,

Meng

et al. 2024

World Neurosurgery

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Occipital condylar avulsion fractures in the acute trauma setting: Stable or unstable injury?

Cited by 3 publications

References 21 publications

Management of a traumatic avulsion fracture of the occipital condyle in polytrauma patient in Korea: a case report

Management of a traumatic avulsion fracture of the occipital condyle in polytrauma patient in Korea: a case report

Emergency MRI in Spine Trauma of Children and Adolescents—A Pictorial Review

Clinical Diagnosis and Treatment of 43 Cases of Occipital Condylar Fractures: A Single-Center Retrospective Study

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