OCCIPITAL CERVICAL STABILIZATION USING OCCIPITAL CONDYLES FOR CRANIAL FIXATION: TECHNICAL CASE REPORT
Presentation of a successful case of craniocervical stabilization involving a novel surgical technique using the occipital condyles as the sole cranial fixation points. A 22-year-old man presented in a delayed fashion with neck pain after a motor vehicle accident. Evaluation revealed a type 2 odonto...
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| Veröffentlicht in: | Neurosurgery 2009-12, Vol.65 (6), p.1216-1217 |
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| container_title | Neurosurgery |
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| creator | URIBE, Juan S RAMOS, Edwin BAAJ, Ali SAMY YOUSSEF, A VALE, Fernando L |
| description | Presentation of a successful case of craniocervical stabilization involving a novel surgical technique using the occipital condyles as the sole cranial fixation points.
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.
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.
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. |
| doi_str_mv | 10.1227/01.NEU.0000349207.98394.FA |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/01.NEU.0000349207.98394.FA</identifier><identifier>PMID: 19934947</identifier><identifier>CODEN: NRSRDY</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Biological and medical sciences ; Humans ; Internal Fixators ; Male ; Medical sciences ; Neck Pain - complications ; Neck Pain - surgery ; Neurosurgery ; Odontoid Process - surgery ; Postoperative Care ; Spinal Fractures - complications ; Spinal Fractures - surgery ; Spinal Fusion - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Young Adult</subject><ispartof>Neurosurgery, 2009-12, Vol.65 (6), p.1216-1217</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c291t-38c3d125922609da75a4922b97c5999fab41bb68e6c91ceb7ce6ff21031f3df13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22158451$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19934947$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>URIBE, Juan S</creatorcontrib><creatorcontrib>RAMOS, Edwin</creatorcontrib><creatorcontrib>BAAJ, Ali</creatorcontrib><creatorcontrib>SAMY YOUSSEF, A</creatorcontrib><creatorcontrib>VALE, Fernando L</creatorcontrib><title>OCCIPITAL CERVICAL STABILIZATION USING OCCIPITAL CONDYLES FOR CRANIAL FIXATION: TECHNICAL CASE REPORT</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Presentation of a successful case of craniocervical stabilization involving a novel surgical technique using the occipital condyles as the sole cranial fixation points.
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.
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.
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.</description><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Internal Fixators</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neck Pain - complications</subject><subject>Neck Pain - surgery</subject><subject>Neurosurgery</subject><subject>Odontoid Process - surgery</subject><subject>Postoperative Care</subject><subject>Spinal Fractures - complications</subject><subject>Spinal Fractures - surgery</subject><subject>Spinal Fusion - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Young Adult</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkF1LwzAUhoMoOj_-ghRBvGrNSdKm8a7WVgOjla4T9SakWQqTzWnjLvz3xjnU3CSE530P50HoDHAEhPBLDFFVTCPsD2WCYB6JlAoWldkOGkFMWMgww7tohIGlIRXJ4wE6dO4FY0gYT_fRAQjhk4yPkK3zXN7LNhsHedE8yNw_Jm12LcfyOWtlXQXTiaxug39YXd08jYtJUNZNkDdZJf1nKR839FXQFvldtanJs0kRNMV93bTHaK_XC2dPtvcRmpZFm9-F4_r2mw0NEfAR0tTQGZBYEJJgMdM81n4_0gluYiFErzsGXZekNjECjO24sUnfE8AUejrrgR6hi5_et2H1vrbuQy3nztjFQr_a1dopThnELBHck1c_pBlWzg22V2_DfKmHTwVYfVtWGJS3rP4sq41lVWY-fLods-6WdvYX3Wr1wPkW0M7oRT_oVzN3vxwhEKcsBvoFkYZ89A</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>URIBE, Juan S</creator><creator>RAMOS, Edwin</creator><creator>BAAJ, Ali</creator><creator>SAMY YOUSSEF, A</creator><creator>VALE, Fernando L</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091201</creationdate><title>OCCIPITAL CERVICAL STABILIZATION USING OCCIPITAL CONDYLES FOR CRANIAL FIXATION: TECHNICAL CASE REPORT</title><author>URIBE, Juan S ; RAMOS, Edwin ; BAAJ, Ali ; SAMY YOUSSEF, A ; VALE, Fernando L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c291t-38c3d125922609da75a4922b97c5999fab41bb68e6c91ceb7ce6ff21031f3df13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Internal Fixators</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neck Pain - complications</topic><topic>Neck Pain - surgery</topic><topic>Neurosurgery</topic><topic>Odontoid Process - surgery</topic><topic>Postoperative Care</topic><topic>Spinal Fractures - complications</topic><topic>Spinal Fractures - surgery</topic><topic>Spinal Fusion - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>URIBE, Juan S</creatorcontrib><creatorcontrib>RAMOS, Edwin</creatorcontrib><creatorcontrib>BAAJ, Ali</creatorcontrib><creatorcontrib>SAMY YOUSSEF, A</creatorcontrib><creatorcontrib>VALE, Fernando L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>URIBE, Juan S</au><au>RAMOS, Edwin</au><au>BAAJ, Ali</au><au>SAMY YOUSSEF, A</au><au>VALE, Fernando L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>OCCIPITAL CERVICAL STABILIZATION USING OCCIPITAL CONDYLES FOR CRANIAL FIXATION: TECHNICAL CASE REPORT</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>65</volume><issue>6</issue><spage>1216</spage><epage>1217</epage><pages>1216-1217</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><coden>NRSRDY</coden><abstract>Presentation of a successful case of craniocervical stabilization involving a novel surgical technique using the occipital condyles as the sole cranial fixation points.
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.
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.
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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>19934947</pmid><doi>10.1227/01.NEU.0000349207.98394.FA</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Neurosurgery, 2009-12, Vol.65 (6), p.1216-1217 |
| issn | 0148-396X 1524-4040 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Humans Internal Fixators Male Medical sciences Neck Pain - complications Neck Pain - surgery Neurosurgery Odontoid Process - surgery Postoperative Care Spinal Fractures - complications Spinal Fractures - surgery Spinal Fusion - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Young Adult |
| title | OCCIPITAL CERVICAL STABILIZATION USING OCCIPITAL CONDYLES FOR CRANIAL FIXATION: TECHNICAL CASE REPORT |
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