Avulsion fracture of the foramen magnum treated with occiput-to-C1 fusion

Technical case report

Peter H. Maughan, Eric Horn, Nicholas Theodore, Iman Feiz-Erfan, Volker K H Sonntag

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

OBJECTIVE AND IMPORTANCE: A 31-year-old woman presented with an avulsion fracture of the foramen magnum via bilateral occipital condyles with extension through the inferior aspect of the clivus. The patient had no neurological deficits and was initially immobilized in a halo brace. INTERVENTION: To preserve rotational motion at C1-C2, we performed an occiput-to-C1 fusion with bilateral C1 lateral mass screws attached with rods to occipital keel screws. Postoperatively, the patient remained neurologically intact. Three-month follow-up imaging revealed no abnormal motion. Follow-up computed tomographic scan showed an intact construct and bony fusion. CONCLUSION: This rare injury, a bony variant of occipitoatlantal dislocation, was successfully treated with a unique occiput-to-C1 fusion.

Original languageEnglish (US)
Pages (from-to)600
Number of pages1
JournalNeurosurgery
Volume57
Issue number3
DOIs
StatePublished - Sep 2005
Externally publishedYes

Fingerprint

Foramen Magnum
Posterior Cranial Fossa
Braces
Bone and Bones
Wounds and Injuries
Avulsion Fractures

Keywords

  • Occipital condyle fracture
  • Occipitoatlantal dislocation
  • Occipitocervical fusion
  • Trauma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Avulsion fracture of the foramen magnum treated with occiput-to-C1 fusion : Technical case report. / Maughan, Peter H.; Horn, Eric; Theodore, Nicholas; Feiz-Erfan, Iman; Sonntag, Volker K H.

In: Neurosurgery, Vol. 57, No. 3, 09.2005, p. 600.

Research output: Contribution to journalArticle

Maughan, Peter H. ; Horn, Eric ; Theodore, Nicholas ; Feiz-Erfan, Iman ; Sonntag, Volker K H. / Avulsion fracture of the foramen magnum treated with occiput-to-C1 fusion : Technical case report. In: Neurosurgery. 2005 ; Vol. 57, No. 3. pp. 600.
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