Unusual occipitoatlantal fracture dissociation with no neurological impairment. Case report

Journal of Neurosurgery
C IdeC Gilliard

Abstract

The authors describe an unusual case of a complex traumatic fracture-dissociation injury of the craniovertebral junction, which the patient survived with no neurological damage. This case featured the rare combination of an avulsion of both the right occipital condyle and clivus and a fracture of the left lateral mass of the atlas. Because of the craniocervical ligament injury and the slight anterior occipitoatlantal dislocation, the lesion was considered to be unstable and was treated successfully with a cervical collar. The authors emphasize that thin-slice computerized tomography scanning with multiplanar reconstructions is essential to visualize these fractures, whereas magnetic resonance imaging is useful to assess soft tissues.

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Citations

Mar 9, 2005·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·Emanuela CaroliRoberto Delfini
Dec 21, 2006·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·Reza DashtiMurat Hanci
Mar 15, 2001·Surgical Neurology·S Saeheng, N Phuenpathom
Jan 13, 2001·Clinical Neurology and Neurosurgery·C MiyazakiN Takasu
Dec 15, 2006·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Markus H SchrödelAnna E Trappe
Nov 26, 2009·Journal of Neurosurgery. Spine·Matthew B MaseratiDavid O Okonkwo
Jul 18, 2002·Journal of Neurosurgery·Ganesh RaoRonald I Apfelbaum
Aug 31, 2000·Radiology·A LeoneP Marano
Mar 31, 2009·Arquivos de neuro-psiquiatria·Wellingson Silva PaivaManoel Jacobsen Teixeira
Feb 28, 2007·Yonsei Medical Journal·Fatih Serhat ErolMehmet Faik Ozveren
Apr 7, 2007·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Margaret D SmithHoward W Sander
Apr 29, 2006·The Journal of Bone and Joint Surgery. British Volume·I AlcelikS E Khoshneviszadeh
Mar 15, 2012·Spine·Jeremiah Jonathan MaddoxSteven Michael Theiss
Nov 15, 2002·Neurosurgery

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