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Observational study of patients with occipital condyle fracture at a brazilian referral trauma center
OBJECTIVE: 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. METHODS: this was a retrospective observational study of OCF identified from trauma cases ad...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Colégio Brasileiro de Cirurgiões
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683456/ https://www.ncbi.nlm.nih.gov/pubmed/34852040 http://dx.doi.org/10.1590/0100-6991e-20213024 |
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author | BATISTA, ANDREW VINÍCIUS DE SOUZA AGUIAR, GUILHERME BRASILEIRO BENNETT, PRISCILLA UMIGI, MÁRCIA RAMOS VEIGA, JOSÉ CARLOS ESTEVES |
author_facet | BATISTA, ANDREW VINÍCIUS DE SOUZA AGUIAR, GUILHERME BRASILEIRO BENNETT, PRISCILLA UMIGI, MÁRCIA RAMOS VEIGA, JOSÉ CARLOS ESTEVES |
author_sort | BATISTA, ANDREW VINÍCIUS DE SOUZA |
collection | PubMed |
description | OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. |
format | Online Article Text |
id | pubmed-10683456 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Colégio Brasileiro de Cirurgiões |
record_format | MEDLINE/PubMed |
spelling | pubmed-106834562023-11-30 Observational study of patients with occipital condyle fracture at a brazilian referral trauma center BATISTA, ANDREW VINÍCIUS DE SOUZA AGUIAR, GUILHERME BRASILEIRO BENNETT, PRISCILLA UMIGI, MÁRCIA RAMOS VEIGA, JOSÉ CARLOS ESTEVES Rev Col Bras Cir Original Article OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. Colégio Brasileiro de Cirurgiões 2021-11-19 /pmc/articles/PMC10683456/ /pubmed/34852040 http://dx.doi.org/10.1590/0100-6991e-20213024 Text en © 2021 Revista do Colégio Brasileiro de Cirurgiões https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article BATISTA, ANDREW VINÍCIUS DE SOUZA AGUIAR, GUILHERME BRASILEIRO BENNETT, PRISCILLA UMIGI, MÁRCIA RAMOS VEIGA, JOSÉ CARLOS ESTEVES Observational study of patients with occipital condyle fracture at a brazilian referral trauma center |
title | Observational study of patients with occipital condyle fracture at a brazilian referral trauma center |
title_full | Observational study of patients with occipital condyle fracture at a brazilian referral trauma center |
title_fullStr | Observational study of patients with occipital condyle fracture at a brazilian referral trauma center |
title_full_unstemmed | Observational study of patients with occipital condyle fracture at a brazilian referral trauma center |
title_short | Observational study of patients with occipital condyle fracture at a brazilian referral trauma center |
title_sort | observational study of patients with occipital condyle fracture at a brazilian referral trauma center |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683456/ https://www.ncbi.nlm.nih.gov/pubmed/34852040 http://dx.doi.org/10.1590/0100-6991e-20213024 |
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