A Case of Asymptomatic Occipital Condyle Fracture with Incomplete Occipitocervical Dislocation: How Did It Happen?

Pasquale Anania, Pietro Fiaschi, Pier Filippo Sbaffi, Gianluigi Zona

Research output: Contribution to journalArticlepeer-review

Abstract

Background Atlanto-occipital dislocation (AOD) is a lesion rarely observed in a trauma center, because of high mortality in the preclinical phase. The number of AOD survivors is increasing thanks to the improvement in prehospital resuscitation. Case Description Our goal is to describe a case of incomplete atlanto-occipital dislocation presented without any neurologic, cardiorespiratory, or metabolic problems, which remained constant even after surgical treatment. Our purpose is also to discuss treatment approaches to minimize subsequent neurologic deficits. Conclusions We recommend a rapid immobilization with spine table and cervical collar, the consensual stabilization of hemodynamic and respiratory parameters, and a successive prompt occipitocervical stabilization. C2 should be included in the stabilization because of the ligamentous conformation of craniocervical joint.

Original languageEnglish
Pages (from-to)403-408
Number of pages6
JournalWorld Neurosurgery
Volume109
DOIs
Publication statusPublished - Jan 1 2018

Keywords

  • Atlanto-occipital
  • Cervical
  • Dislocation
  • Fracture
  • Occipitocervical

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint

Dive into the research topics of 'A Case of Asymptomatic Occipital Condyle Fracture with Incomplete Occipitocervical Dislocation: How Did It Happen?'. Together they form a unique fingerprint.

Cite this