Occipital Condyle Fracture ICD-10
Occipital Condyle Fracture Etiology / Epidemiology / Natural History
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.
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