Abstract
With the routine use of multi-slice high resolution computed tomography, increasing number of occipital condyle fractures have been reported in the last decade. The authors report a very rare case of bilateral occipital condyle fracture complicated by the fracture of the inferior clivus and discuss the possible mechanisms of injury.
References
Anderson PA, Montesano PX (1988) Morphology and treatment of occipital condyle fractures. Spine 13:731–736
Aulino JM, Tutt LK, Kaye JJ, Smith PW, Morris JA Jr (2005) Occipital condyle fractures: clinical presentation and imaging findings in 76 patients. Emerg Radiol 11(6):342–347
Bell C (1817) Surgical Observations. Middlesex Hosp J 4:469–470
Bloom AI, Neeman Z, Slasky BS, Floman Y, Milgrom M, Rivkind A, Bar-Ziv J (1997) Fracture of the occipital condyles and associated craniocervical ligament injury: incidence, CT imaging and implications. Clin Radiol 52:198–202
Brain Trauma Foundation, Inc., American Association of Neurological Surgeons (2000) Part 1: guidelines for the management of severe traumatic brain injury. New York
Capuano C, Costagliola C, Shamsaldin M, Maleci A, Di Lorenzo N (2004) Occipital condyle fractures: a hidden nosologic entity. An experience with 10 cases. Acta Neurochir (Wien) 146(8):779–784
Deliganis AV, Baxter AB, Hanson JA, Fisher DJ, Cohen WA, Wilson AJ, Mann FA (2000) Radiologic spectrum of craniocervical distraction injuries. Radiographics 20 Spec No:S237–S250
Fuentes S, Bouillot P, Dufour H, Grisoli F (2000) Occipital condyle fractures and clivus epidural hematoma. Case report. Neurochirurgie 46:563–567
Hadley MN, Walters BC, Grabb PA, Oyesiku NM, Przybylski GJ, Resnick DK, Ryken TC (2002) Occipital condyle fractures. Neurosurgery 50:S114–S119
Hanson JA, Deliganis AV, Baxter AB, Cohen WA, Linnau KF, Wilson AJ, Mann FA (2002) Radiologic and clinical spectrum of occipital condyle fractures: Retrospective review of 107 consecutive fractures in 95 patients. AJR Am J Roentgenol 178:1261–1268
Ide C, Nisolle JF, Misson N, Trigaux JP, Gustin T, De Coene B, Gilliard C (1998) Unusual occipitoatlantal fracture dissociation with no neurological impairment: Case report. J Neurosurg 88:773–776
Imamura T, Kojima T, Yashiki M, Namera A (2000) Traumatic avulsion fracture of the occipital condyles and clivus: a case report. Leg Med (Tokyo) 2(1):49–53
Jones DN, Knox AM, Sage MR (1990) Traumatic avulsion fracture of the occipital condyles and clivus with associated unilateral atlantooccipital distraction. AJNR Am J Neuroradiol 11:1181–1183
Maughan PH, Horn EM, Theodore N, Feiz-Erfan I, Sonntag VK (2005) Avulsion fracture of the foramen magnum treated with occiput-to-c1 fusion: technical case report. Neurosurgery 57(3):E600
Tanabe M, Watanabe T, Matsumoto S, Okamoto H, Shirakashi K (1999) Avulsion fracture of the anterior half of the foramen magnum involving the bilateral occipital condyles and the inferior clivus: Case report. Neurol Med Chir (Tokyo) 39:358–361
Tuli S, Tator CH, Fehlings MG, Mackay M (1997) Occipital condyle fractures. Neurosurgery 41:368–377
White AA III, Panjabi MM (1990) Fractures of the occipital condyle. In: White AA III, Panjabi MM (eds) Clinical biomechanics of the spine. 2nd edn. Lippincott, Philadelphia, pp 192–193
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dashti, R., Ulu, M.O., Albayram, S. et al. Concomitant fracture of bilateral occipital condyle and inferior clivus: what is the mechanism of injury?. Eur Spine J 16 (Suppl 3), 261–264 (2007). https://doi.org/10.1007/s00586-006-0270-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00586-006-0270-1