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 journalArticle

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

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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