Occipital condyle fractures: A case report

Delayed Presentation of Atlanto-Occipital Dislocation with Fracture of Adjoining Bone with Diagnostic Challenge: Report of Two Cases

“…4,5 Most of the cases reported in the literature have been managed by neck stabilization methods conservatively or by occipitocervical fusion surgeries. 1,9,14,15 Both of our cases presented years (5 and 12 years) after initial trauma and, despite undergoing advanced imaging studies such as high-resolution CT, MR imaging, and angiography of CVJ, were undiagnosed mainly due to paucity of radiologists and surgeons who specialize in CVJ radiology and surgeries, respectively. We could find only one report of three patients with AOD presented after varying periods ranging from weeks to years after trauma, the longest interval being 18 years.…”

“…Atlanto-occipital dislocation with fracture (AODF) of adjoining bone is rare, and surgery of this location is challenging due to its complex and occasionally variable anatomy due to various malformations. [1][2][3][4][5][6][7][8][9] There are possibilities of array of traumatic dislocations of atlanto-occipital joint (AOJ) leading to deviation of location and course of the vertebral arteries. Delay in diagnosis is common, which makes the treatment more challenging because of malunions, remodeling of the dislocated or fractured segments, and change in the course of vertebral arteries.…”

Occipital Condyle Fracture Extending to the Inferior Part of the Clivus

“…Generally conservative treatment suffices, but particularly in the presence of atlanto-occipital instability, occipitocervical fusion may be necessary [4]. In this paper, we present a traffic accident case that had occipital condyle fracture extending from the anterior hypoglossal canal to the inferior clivus with hypoglossal nerve damage.…”