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

Juan S. Uribe; Edwin Ramos; Ali Baaj; A. Samy Youssef; Fernando L. Vale

doi:10.1227/01.NEU.0000349207.98394.FA

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

Juan S. Uribe, Edwin Ramos, Ali Baaj, A. Samy Youssef, Fernando L. Vale

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

Abstract

OBJECTIVE: Presentation of a successful case of craniocervical stabilization involving a novel surgical technique using the occipital condyles as the sole cranial fixation points. CLINICAL PRESENTATION: 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. INTERVENTION: 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. CONCLUSION: 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.

Original language	English (US)
Journal	Neurosurgery
Volume	65
Issue number	6
DOIs	https://doi.org/10.1227/01.NEU.0000349207.98394.FA
State	Published - Dec 1 2009
Externally published	Yes

Keywords

Condyle screw
Craniocervical fusion
Craniocervical instability
Craniocervical junction
Craniovertebral junction
Occipital condyle
Occipital condyle cervical fusion
Occipitocervical fusion
Occipitocervical junction

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1227/01.NEU.0000349207.98394.FA

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title = "Occipital cervical stabilization using occipital condyles for cranial fixation: Technical case report",

abstract = "OBJECTIVE: Presentation of a successful case of craniocervical stabilization involving a novel surgical technique using the occipital condyles as the sole cranial fixation points. CLINICAL PRESENTATION: 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. INTERVENTION: 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. CONCLUSION: 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.",

keywords = "Condyle screw, Craniocervical fusion, Craniocervical instability, Craniocervical junction, Craniovertebral junction, Occipital condyle, Occipital condyle cervical fusion, Occipitocervical fusion, Occipitocervical junction",

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T1 - Occipital cervical stabilization using occipital condyles for cranial fixation

T2 - Technical case report

AU - Uribe, Juan S.

AU - Ramos, Edwin

AU - Baaj, Ali

AU - Youssef, A. Samy

AU - Vale, Fernando L.

PY - 2009/12/1

Y1 - 2009/12/1

N2 - OBJECTIVE: Presentation of a successful case of craniocervical stabilization involving a novel surgical technique using the occipital condyles as the sole cranial fixation points. CLINICAL PRESENTATION: 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. INTERVENTION: 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. CONCLUSION: 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.

AB - OBJECTIVE: Presentation of a successful case of craniocervical stabilization involving a novel surgical technique using the occipital condyles as the sole cranial fixation points. CLINICAL PRESENTATION: 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. INTERVENTION: 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. CONCLUSION: 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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KW - Craniovertebral junction

KW - Occipital condyle

KW - Occipital condyle cervical fusion

KW - Occipitocervical fusion

KW - Occipitocervical junction

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

Abstract

Keywords

ASJC Scopus subject areas

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