Occipital cervical stabilization using occipital condyles for cranial fixation: technical case report

Neurosurgery
Juan S UribeFernando L Vale

Abstract

Presentation of a successful case of craniocervical stabilization involving a novel surgical technique using the occipital condyles as the sole cranial fixation points. A 22-year-old man presented in a delayed fashion with neck pain after a motor vehicle accident. Evaluation revealed a type 2 odontoid fracture with pseudarthrosis and displacement of the dens superiorly and cranial settling of the dens. The patient underwent posterior occipitocervical fixation with a polyaxial screw rod construct using the occipital condyle, C1 lateral mass, and C2 pars articularis for fixation. The patient had no immediate postoperative deficits. At the time of the 12-month follow-up examination, the patient was neurologically intact with a solid occipitocervical fusion. Craniocervical stabilization using occipital condyle screws as the sole cephalad fixation points is a feasible option and can be used safely without neurovascular complication in the treatment of craniocervical instability.

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Citations

Oct 27, 2011·Neurologia Medico-chirurgica·Jae Taek HongHoward S An
Nov 12, 2013·Journal of Neurosurgery. Pediatrics·Paul M Arnold
Nov 12, 2013·Journal of Neurosurgery. Pediatrics·Libby Kosnik-InfingerBruce M Frankel
Jul 19, 2014·Journal of Neurosurgery. Spine·Juan S UribeAli A Baaj
Feb 3, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ho Jin LeeJae Taek Hong
Feb 24, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Tien V LeJuan S Uribe
May 6, 2011·Spine·Joon O LeeJin S Yeom
Nov 2, 2016·Journal of Neurosurgery. Spine·Jinsong ZhouHoward S An
May 7, 2020·Neurosurgery·Nikita G AlexiadesRichard C E Anderson
Oct 28, 2019·Journal of Orthopaedic Surgery·Zhen-Qi LouHua-Guo Zhao
Sep 25, 2021·Journal of Neurosurgery. Spine·Denmark MugutsoMarat V Avshalumov

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