Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical Treatment
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....
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/2809546 |
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| author | Takeshi Suzuki Satoshi Maki Masaaki Aramomi Tomonori Yamauchi Manato Horii Koui Kawamura Hiroshi Sugiyama Seiji Ohtori |
| author_facet | Takeshi Suzuki Satoshi Maki Masaaki Aramomi Tomonori Yamauchi Manato Horii Koui Kawamura Hiroshi Sugiyama Seiji Ohtori |
| author_sort | Takeshi Suzuki |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e8ed134d3951438ebee20d273d1a0968 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-e8ed134d3951438ebee20d273d1a09682025-02-03T07:25:59ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/28095462809546Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical TreatmentTakeshi Suzuki0Satoshi Maki1Masaaki Aramomi2Tomonori Yamauchi3Manato Horii4Koui Kawamura5Hiroshi Sugiyama6Seiji Ohtori7Department of Orthopaedic Surgery, Asahi General Hospital, i1326 Asahi, Chiba 289-2511, JapanDepartment of Orthopaedic Surgery, Asahi General Hospital, i1326 Asahi, Chiba 289-2511, JapanDepartment of Orthopaedic Surgery, Asahi General Hospital, i1326 Asahi, Chiba 289-2511, JapanDepartment of Orthopaedic Surgery, Asahi General Hospital, i1326 Asahi, Chiba 289-2511, JapanDepartment of Orthopaedic Surgery, Asahi General Hospital, i1326 Asahi, Chiba 289-2511, JapanDepartment of Orthopaedic Surgery, Asahi General Hospital, i1326 Asahi, Chiba 289-2511, JapanDepartment of Orthopaedic Surgery, Asahi General Hospital, i1326 Asahi, Chiba 289-2511, JapanDepartment of Orthopaedic Surgery, Chiba University, Graduate School of Medicine, 1-8-1 Inohana Chuou-ku, Chiba, Chiba 260-8670, JapanAn 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.http://dx.doi.org/10.1155/2018/2809546 |
| spellingShingle | Takeshi Suzuki Satoshi Maki Masaaki Aramomi Tomonori Yamauchi Manato Horii Koui Kawamura Hiroshi Sugiyama Seiji Ohtori Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical Treatment Case Reports in Orthopedics |
| title | Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical Treatment |
| title_full | Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical Treatment |
| title_fullStr | Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical Treatment |
| title_full_unstemmed | Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical Treatment |
| title_short | Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical Treatment |
| title_sort | occipital condyle fracture a case report of a typically stable fracture that required surgical treatment |
| url | http://dx.doi.org/10.1155/2018/2809546 |
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