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Occipital Condyle Fracture

 

synonyms:

Occipital Condyle Fracture ICD-9

Occipital Condyle Fracture Etiology / Epidemiology / Natural History

  • High energy trauma

Occipital Condyle Fracture Anatomy

  • .

Occipital Condyle Fracture Clinical Evaluation

  • Palpate entire spine for tenderness / step off.
  • Complete neuro exam: motor strength, pin-prick sensation, reflexes, cranial nerves, rectal examination (perineal pin-prick sensation, sphincter tone, volitional spincter control)
  • Absence of the bulbocaverosus reflex indicates spinal shock. Level of spinal injury can not be determined until bulbocaverosus reflex has returned.
  • See ASIA form.

Occipital Condyle Fracture Xray / Diagnositc Tests

  • A/P, Lateral, Odontoid: difficult to see on plain films.
  • CT cervical spine: indicated for any patient suspected of occipital condyle fracture, especially to evaluated for associated injuries / occiputalcervical dissociation.
  • MRI: indicated for neuro deficit, suspicious of instability or HNP, pre-op evaluation

Occipital Condyle Fracture Classification / Treatment

  • Nondisplacec / impaction / unilateral
    -Treatment = orthosis x 6-12 weeks
  • Displaced / avulsion / bilateral
    -Treatment = halo vest of surgical stabilization

Occipital Condyle Fracture Associated Injuries / Differential Diagnosis

  • Head injury
  • Skull base fracutres
  • Lower cranial nerve palsies (CN12)
  • Upper cervical spine injuries

Occipital Condyle Fracture Complications

Occipital Condyle Fracture Follow-up Care

Occipital Condyle Fracture Review References

  • Hanson JA, AJR Am J Roentgenol 2002;178:1262
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