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

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

Research output: Contribution to journalArticle

21 Citations (Scopus)

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 languageEnglish (US)
JournalNeurosurgery
Volume65
Issue number6
DOIs
StatePublished - Dec 1 2009

Fingerprint

Bone and Bones
Pseudarthrosis
Neck Pain
Motor Vehicles
Accidents
Therapeutics

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

Cite this

Occipital cervical stabilization using occipital condyles for cranial fixation : Technical case report. / Uribe, Juan S.; Ramos, Edwin; Baaj, Ali; Youssef, A. Samy; Vale Diaz, Fernando.

In: Neurosurgery, Vol. 65, No. 6, 01.12.2009.

Research output: Contribution to journalArticle

Uribe, Juan S. ; Ramos, Edwin ; Baaj, Ali ; Youssef, A. Samy ; Vale Diaz, Fernando. / Occipital cervical stabilization using occipital condyles for cranial fixation : Technical case report. In: Neurosurgery. 2009 ; Vol. 65, No. 6.
@article{4b23d652eb1c46e79bb142f5efcf7b54,
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",
author = "Uribe, {Juan S.} and Edwin Ramos and Ali Baaj and Youssef, {A. Samy} and {Vale Diaz}, Fernando",
year = "2009",
month = "12",
day = "1",
doi = "10.1227/01.NEU.0000349207.98394.FA",
language = "English (US)",
volume = "65",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

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 Diaz, Fernando

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.

KW - Condyle screw

KW - Craniocervical fusion

KW - Craniocervical instability

KW - Craniocervical junction

KW - Craniovertebral junction

KW - Occipital condyle

KW - Occipital condyle cervical fusion

KW - Occipitocervical fusion

KW - Occipitocervical junction

UR - http://www.scopus.com/inward/record.url?scp=74349106726&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=74349106726&partnerID=8YFLogxK

U2 - 10.1227/01.NEU.0000349207.98394.FA

DO - 10.1227/01.NEU.0000349207.98394.FA

M3 - Article

C2 - 19934947

AN - SCOPUS:74349106726

VL - 65

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 6

ER -