Clinical relevance of occipital condyle fractures

Autor: M.H. Pouw, Monique Brink, Henricus P. M. Kunst, Stijn J van der Burg, Allard J. F. Hosman, Helena M. Dekker
Přispěvatelé: RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, KNO, MUMC+: MA Keel Neus Oorheelkunde (9)
Rok vydání: 2020
Předmět:
medicine.medical_specialty
lcsh:Diseases of the musculoskeletal system
NECK-DISABILITY-INDEX
Vascular damage Radboud Institute for Health Sciences [Radboudumc 16]
Fracture healing
Context (language use)
Bone healing
range of motion
03 medical and health sciences
All institutes and research themes of the Radboud University Medical Center
0302 clinical medicine
follow-up
neck disability index
Medicine
Clinical significance
SPECTRUM
030222 orthopedics
reliability
business.industry
occipital condyle fractures
Trauma center
Occipital condyle
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
Exact test
trauma
medicine.anatomical_structure
Radiological weapon
neck pain and disability scale
Original Article
Surgery
Neurology (clinical)
Radiology
lcsh:RC925-935
business
Range of motion
030217 neurology & neurosurgery
Rare cancers Radboud Institute for Health Sciences [Radboudumc 9]
CT
Zdroj: Journal of Craniovertebral Junction & Spine
Journal of Craniovertebral Junction and Spine, 11, 173-179
Journal of Craniovertebral Junction and Spine, 11, 3, pp. 173-179
Journal of Craniovertebral Junction and Spine, Vol 11, Iss 3, Pp 173-179 (2020)
Journal of Craniovertebral Junction and Spine, 11(3), 173-179. Medknow Publications and Media Pvt. Ltd.
ISSN: 0974-8237
DOI: 10.4103/jcvjs.jcvjs_100_20
Popis: Context: No consensus about classification, treatment, and clinical relevance of occipital condyle fractures (OCFs) exists. Aims: The aim of the study was to determine radiological, clinical, and functional outcome of OCFs and thereby determine its clinical relevance. Settings and Design: This was a retrospective analysis of a prospective follow-up study. Materials and Methods: From May 2005 to May 2008, all OCFs were included from a Level-1 trauma center. Patient files were reviewed for patient and fracture characteristics. Fracture classification was done according to the Anderson criteria. Clinical outcome was assessed by completing two questionnaires, radiological outcome by computed tomography imaging, and functional outcome by measuring active cervical range of motion using a Cybex EDI-320. Statistical Analysis Used: A Fisher's exact Test was used in categorical variables and a one-sample t-test for comparing means of active cervical range of motion in occipital fracture patients with normal values. An independent samples t-test was carried out to compare the means of groups with and without accompanying cervical fractures for each motion. Results: Thirty-nine patients were included (4 type I, 16 type II, and 19 type III). Twenty-seven patients completed follow-up, of whom 26 were treated conservatively. Fracture healing was established in 25 of 28 fractures at a median follow-up of 19 months. Eleven patients had none to minimal pain or disability at follow-up, 12 had mild, and two had moderate pain or disability on questionnaires. No statistically significant difference in active cervical range of motion was identified comparing means stratified for accompanying cervical fractures. Conclusions: Conservatively treated patients with an OCF generally show favorable radiological and clinical outcome.
Databáze: OpenAIRE
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