- Santa Casa de São Paulo School of Medical Science, Neurosurgery - São Paulo - SP - Brasil.
Rev Col Bras Cir. 2021 Nov 29;48:e20213024. doi: 10.1590/0100-6991e-20213024. eCollection 2021.
to evaluate the clinical-epidemiological characteristics, treatment, and evolution of patients with occipital condyle fracture (OCF) at one of the largest referral trauma centers in Latin America.
this was a retrospective observational study of OCF identified from trauma cases admitted between December 2011 and December 2019 by the neurosurgery team at a Type 3 trauma center.
a total of twenty-eight occipital condyle fractures were identified in twenty-six patients. The incidence was less than 0.2% per year and more common in male patients (4:1 ratio) involved in traffic accidents. The mean age was 42.08 years. Anderson and Montesano type II and Tuli type 1 were the most frequent (67.9% and 89.3%, respectively) and no case presented C0-C1-C2 instability. All patients were treated with a cervical collar for 3 to 6 months. About 65% of the patients exhibited good progression (Glasgow Outcome Scale equal to 4), and the severity of traumatic brain injury was the main determinant for negative outcomes.
the findings of this study are in accordance with available literature data. The use of external stabilization with a cervical collar is reinforced for the treatment of stable lesions, even when these are bilateral. Assessment of the patients' follow-up results in the studied sample may contribute with useful information for the treatment of occipital condyle fractures.
评估拉丁美洲最大转诊创伤中心之一的患者枕骨髁骨折（OCF）的临床流行病学特征、治疗和转归。
这是一项回顾性观察研究，对 2011 年 12 月至 2019 年 12 月神经外科团队通过创伤病例确定的 OCF 进行了研究，这些病例均来自 3 型创伤中心。
共确定了 26 名患者中的 28 例枕骨髁骨折。发病率低于每年 0.2%，且更常见于男性（男女比为 4:1），这些患者多与交通事故有关。平均年龄为 42.08 岁。Anderson 和 Montesano Ⅱ型和 Tuli Ⅰ型最为常见（分别为 67.9%和 89.3%），无一例出现 C0-C1-C2 不稳定。所有患者均采用颈托治疗 3 至 6 个月。约 65%的患者表现出良好的进展（格拉斯哥结果量表等于 4），创伤性脑损伤的严重程度是导致不良结局的主要决定因素。
本研究结果与现有文献数据一致。对于稳定型损伤，即使是双侧损伤，使用颈托进行外部稳定治疗得到了加强。评估研究样本中患者的随访结果可能为枕骨髁骨折的治疗提供有用信息。
