Persad Amit R, Liu Eva, Wu Adam, Fourney Daryl R
1Department of Neurosurgery, Stanford University, Palo Alto, California; and.
2Division of Neurosurgery, Royal University Hospital, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
J Neurosurg Case Lessons. 2023 Dec 18;6(25). doi: 10.3171/CASE23577.
Bilateral occipital condyle fractures (OCFs) with involvement of the inferior clivus, otherwise known as "avulsion of the anterior foramen magnum," are an exceedingly rare injury with only a few published reports.
A 24-year-old male presented with bilateral OCFs with involvement of the clivus after a motor vehicle accident. The patient had no neurological deficits and was successfully managed nonoperatively using a halo vest. The authors used a traction test to guide the duration of nonoperative care. The operative and nonoperative management of this rare injury is discussed with respect to other cases in the literature.
External immobilization through a halo vest is an effective treatment option for bilateral OCFs with clivus involvement. The traction test can be used, along with computed tomography, to guide the duration of treatment.
双侧枕髁骨折（OCFs）累及斜坡下部，即所谓的“枕骨大孔前方撕脱伤”，是一种极为罕见的损伤，仅有少数病例报告发表。
一名24岁男性在机动车事故后出现双侧枕髁骨折并累及斜坡。患者无神经功能缺损，通过头环背心成功进行了非手术治疗。作者采用牵引试验来指导非手术治疗的持续时间。结合文献中的其他病例讨论了这种罕见损伤的手术和非手术治疗方法。
通过头环背心进行外固定是治疗累及斜坡的双侧枕髁骨折的有效选择。牵引试验可与计算机断层扫描一起用于指导治疗持续时间。
