A closed fracture occurs when the damage is beneath the skin and there is no visible injury. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. A numerical investigation of factors affecting cervical spine injuries during rollover crashes. Campbell's Operative Orthopaedics, ed 8. Evaluation of cervical spine fracture in the elderly: can we trust our physical examination?. Considering the relationship between OCFs and BVAI may serve to optimize emergency management decisions.
Spine (Phila Pa 1976). 1989; 3(l):7I-75. Surg Neurol. Spencer JA, Yeakley JW, Kaufman HH. Burst fracture of vertebral body caused by a vertical (axial) compression mechanism is stable mechanically and involves disruption of the anterior and middle columns, with variable degree of protrusion of the latter.
These fractures may be managed conservatively, and, if required, by immobilization using a stiff neck collar or a halo jacket.1,3 Unstable fractures require surgical removal of the fragments.2.
At admission to the emergency room, he had a GCS of 4, a left pneumothorax, and a mandibular fracture. The fracture healed with no evidence of instability on cervieal spine films obtained at 3 months follow up. 2016 Jul 28. mildly displaced occipital condyle fracture.
Stassen NA, Williams VA, Gestring ML, et al. (B) Type II odontoid fracture is a fracture at the base of the dens. Shah K, Tikoo A, Kothari MK, Nene A. 2009 Nov 15. [Medline]. 4. Traumatic posterior atlantooccipital dislocation with Jefferson and occipital condyle fractures: A case report. Aziz M. Use of video-assisted intubation devices in the management of patients with trauma.
The articles prior to January 2013 are part of the back file collection and are not available with a current paid subscription.
2014 Feb. 5 (1):67-75. [Medline].
2015 Sep 9.
Whats New in Emergencies, Trauma and Shock? Spinal cord injuries. 6.
J Trauma. 1265365-overview This site uses cookies.
2011 Feb. 70(2):299-309. In two cases an occipital condyle fracture with medial displace ment of the fracture fragment (Figs 18, 1C, 2A,
Occipital condylar fractures. [Medline]. Flexion and extension views 3 months posti njury showed no evidence of ligamentous instability, and the collar was discontinued.
Nordin M, Carragee EJ, Hogg-Johnson S, Weiner SS, Hurwitz EL, Peloso PM, et al. Cervical spine injury in patients with facial skeletal trauma.
J Emerg Med. Ann Emerg Med. Does CT Angiography Matter for Patients with Cervical Spine Injuries?. All were admitted with head injuries. Stein DM, Kufera JA, Ho SM, Ryb GE, Dischinger PC, O'connor JV, et al. Occipital condyles, situated on either side of the foramen magnum, are occasionally fractured with cervical spine fracture. 2000 Sep;216(3):635-44. doi: 10.1148/radiology.216.3.r00se23635. Cervical spine radiographs were normal, but CT demonstrated a Type I linear fracture of the left occipital condyle (Fig 1). 2017 Jun. Register, Oxford University Press is a department of the University of Oxford. Winslow JE 3rd, Hensberry R, Bozeman WP, Hill KD, Miller PR. |
Occipital condyle fractures are caused by a combination of vertical compression and lateral bending. Sinclair D, Schwartz M, Gruss J, McLellan B. Nordin M, Carragee EJ, Hogg-Johnson S, Weiner SS, Hurwitz EL, Peloso PM, et al. Factors affecting outcome of acute cervical spine injury: A prospective study. Odontoid view shows displacement of the lateral masses of C1, allowing distinction of this fracture from a simple fracture of the posterior neural arch of C1. Traumatic subaxial cervical facet subluxation and dislocation: epidemiology, radiographic analyses and risk factors for spinal cord injury.
Occupant and crash characteristics for case occupants with cervical spine injuries sustained in motor vehicle collisions.
Suzuki T, Maki S, Aramomi M, Yamauchi T, Horii M, Kawamura K, Sugiyama H, Ohtori S. Case Rep Orthop.
and What is occipital condyle fracture of the cervical spine?
[Medline]. Patient characteristics, fracture characteristics (including fracture classification according to the 2 major classification systems), initial management, and status at follow-up were recorded.
Occipital condyle fractures are a rare but serious injury that requires prompt diagnosis and treatment.
It has been the authors' impression, based on experience with OCFs at their institution, that classification is cumbersome and contributes little to the clinical decision-making process, while the identification of craniocervical misalignment and neural element compromise is paramount, and sufficient, for the planning of treatment. Mark Louden, MD is a member of the following medical societies: American College of Emergency PhysiciansDisclosure: Nothing to disclose. 286(15):1841-8. Cervical radiographs were normal, but CT scans of the skull base and upper cervical spine demonstrated a Type I fracture of the right occipital condyle. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. Clipboard, Search History, and several other advanced features are temporarily unavailable.
31(1):157-66. Case 5.
J Emerg Med. 2. [Medline]. LeFort Classification of Facial Fractures; Markowitz-Manson Classification of Nasoethmoid Orbital Fractures; Dingman and Natvig Classification of Mandibular fractures; Occipital Condyle Fracture; Universal Teeth Numbering; Bouthiller Classification of Internal Carotid Artery Anatomy
Beaty N, Slavin J, Diaz C, Zeleznick K, Ibrahimi D, Sansur CA.
Infant Brachial Plexus Injuries: When to Refer Immediately and When to Wait, The 5 Most Denied Prior Authorization Requests and How to Prevent These Denials, 'These Are Not Things I'm Getting Paid For', A Matched-Cohort Study Comparing Outpatient Total Knee Arthroplasty in An Ambulatory Surgery Center With Inpatient Total Knee Arthroplasty in a Hospital, Arthroscopic Partial Meniscectomy Tied to Radiographic Knee Osteoarthritis, Experts Unravel the 'Mysteries of Wrist Motion', Pandemic Hampers Reopening of Joint Replacement Gold Mine, Chemoradiotherapy Raises Risk of Thoracic Vertebral Fracture, Orthopedic Problems in Children Can Be the First Indication of Acute Lymphoblastic Leukemia. Darras K, Andrews GT, McLaughlin PD, Khorrami-Arani N, Roston A, Forster BB, et al. This is the most common type of odontoid fracture. occipital condyle fracture (OCF) and BVAI. Thompson WL, Stiell IG, Clement CM, Brison RJ. Duane TM, Dechert T, Wolfe LG, Aboutanos MB, Malhotra AK, Ivatury RR. Factors associated with cervical spine injury in children after blunt trauma.
Depressed 4. Plain radiographs of the base of the skull and cervical spine do not reveal this fracture unless there is disruption of the atlanto-occipital joint. Because magnetic resonance imaging does not image cortical bone well, routine tomography or craruocervical CT scanning with coronal reconstructions is recommended to most accurately identify the fracture and define its configuration. Cervical spinal extradural arteriovenous fistula successfully treated using transarterial balloon-assisted coil embolization. She was lost to long-term follow up. Orthopade. Chilvers G, Janjua U, Choudhary S. Blunt cervical spine injury in adult polytrauma: incidence, injury patterns and predictors of significant ligament injury on CT. Clin Radiol.
[Medline].
[Medline]. 39 (24):E1403-10. Historically, occipital condyle fractures (OCFs) have been difficult to diagnose, as they are rarely visible on plain radiographic studies.
343(2):94-9.
2017. 29:1276-1278. [Medline]. Cranial CT demonstrated a left temporal epidural hematoma that was surgically evacuated. Fractures and dislocations of the cervical spine are not uncommon in multiply-injured patients. A Philadelphia collar was used for immobilization and the patient was discharged at 1 week with no neurologic deficit.
CJEM.
Procedures, 2001
Cervical spine MRI in patients with negative CT: A prospective, multicenter study of the Research Consortium of New England Centers for Trauma (ReCONECT). 2017 Jun. To purchase short term access, please sign in to your Oxford Academic account above. Hoffman JR, Mower WR, Wolfson AB, et al. [Medline]. This report describes current diagnostic and treatment approaches to this injury.
(A) Type I odontoid fracture represents an avulsion of the tip of the dens at the insertion site of the alar ligament.
Lateral projection shows a fracture line through the posterior neural arch without widening predental space. CT. 1988; 1 1(4):26 1-263. COVID-19 is an emerging, rapidly evolving situation. 2013 Jan 22. The patient was conscious, and no deficits were noticed on complete neurologic examination. News. These fractures are associated with significant head trauma and usually are accompanied by cranial nerve deficits.
A 17-year-old male who was an unrestrained driver in a two-car motor vehicle accident sustained a severe closed head injury.
Such fractures are linear, appearing as a crack in the occipital bone, or compressed, with part of the surface of the condyle being pushed inward.
J Trauma Acute Care Surg. Odontoid fracture biomechanics. 2017 Aug 10. (avulsion). doi: 10.1016/j.wneu.2018.04.025. 2017 Feb. 82 (2):263-269. Don't already have an Oxford Academic account? Spine J. The continued burden of spine fractures after motor vehicle crashes. [Medline].
34(24):2646-53. Harding-Smith J, Macintosh PK. 2008 Mar 15. From the Department of Anesthesiology, SUNY Upstate Medical University, Syracuse, New York.
Injury is caused by blunt trauma with significant craniocervical torque or axial loading.1 An isolated occipital condyle fracture is very rare.
[Medline]. Radiologic and clinical spectrum of occipital condyle fractures: retrospective review of 107 consecutive fractures in 95 patients. Epub 2018 Apr 12. Introduction The Scottish surgeon and anatomist Charles Bell published the first case report of an Occipital Condyle Fracture (OCF), discovered at autopsy, in 18171. At 3 months follow up, the fracture had united with no evidence of instability. 10 This notch and the corresponding portion of the temporal bone form the jugular foramen. You do not currently have access to this article.
Bolender N, Cromwell LD, Wendung L. Fracture of the occipital condyle. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. Hanson JA, Deliganis AV, Baxter AB, Cohen WA, Linnau KF, Wilson AJ, Mann FA. 2017 Oct-Dec;8(4):338-341. doi: 10.4103/jcvjs.JCVJS_99_17.
A Philadelphia collar was used for immobilization, and he made a gradual recovery with eventual transfer to a rehabilitation center.
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