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Management of an extended clivus fracture: a case report

BACKGROUND: Clivus fractures are highly uncommon. The classification by Corradino et al. divides the different lesions in longitudinal, transverse and oblique fractures. Longitudinal types are associated with the highest mortality rate between 67 – 80%. Clivus fractures are often found after high ve...

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Autores principales: Evers, Julia JE, Vieth, Volker VV, Hartensuer, René RH, Raschke, Michael MJR, Vordemvenne, Thomas TV
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878031/
https://www.ncbi.nlm.nih.gov/pubmed/24365516
http://dx.doi.org/10.1186/1756-0500-6-554
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author Evers, Julia JE
Vieth, Volker VV
Hartensuer, René RH
Raschke, Michael MJR
Vordemvenne, Thomas TV
author_facet Evers, Julia JE
Vieth, Volker VV
Hartensuer, René RH
Raschke, Michael MJR
Vordemvenne, Thomas TV
author_sort Evers, Julia JE
collection PubMed
description BACKGROUND: Clivus fractures are highly uncommon. The classification by Corradino et al. divides the different lesions in longitudinal, transverse and oblique fractures. Longitudinal types are associated with the highest mortality rate between 67 – 80%. Clivus fractures are often found after high velocity trauma, especially traffic accidents and falls. The risk of neurologic lesions is high, because of the anatomic proximity to neurovascular structures like the brainstem, the vertebrobasilar artery, and the cranial nerves. Longitudinal clivus fractures have a special risk of causing entrapment of the basilar artery and thus ischemia of the brainstem. CASE PRESENTATION: This lesion in our patient was a combination-fracture of the craniocervical junction with a transverse clivus fracture. In this case, the primary closed reduction of the clivus fracture and the immobilization with a halo device was the therapy of choice and led to consolidation of the fracture. CONCLUSION: Therapy advices and examples in the literature are scarce. We present a patient with a clivus fracture, who could be well treated by a halo device. Through detailed research of the literature a therapy algorithm has been developed.
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spelling pubmed-38780312014-01-03 Management of an extended clivus fracture: a case report Evers, Julia JE Vieth, Volker VV Hartensuer, René RH Raschke, Michael MJR Vordemvenne, Thomas TV BMC Res Notes Case Report BACKGROUND: Clivus fractures are highly uncommon. The classification by Corradino et al. divides the different lesions in longitudinal, transverse and oblique fractures. Longitudinal types are associated with the highest mortality rate between 67 – 80%. Clivus fractures are often found after high velocity trauma, especially traffic accidents and falls. The risk of neurologic lesions is high, because of the anatomic proximity to neurovascular structures like the brainstem, the vertebrobasilar artery, and the cranial nerves. Longitudinal clivus fractures have a special risk of causing entrapment of the basilar artery and thus ischemia of the brainstem. CASE PRESENTATION: This lesion in our patient was a combination-fracture of the craniocervical junction with a transverse clivus fracture. In this case, the primary closed reduction of the clivus fracture and the immobilization with a halo device was the therapy of choice and led to consolidation of the fracture. CONCLUSION: Therapy advices and examples in the literature are scarce. We present a patient with a clivus fracture, who could be well treated by a halo device. Through detailed research of the literature a therapy algorithm has been developed. BioMed Central 2013-12-23 /pmc/articles/PMC3878031/ /pubmed/24365516 http://dx.doi.org/10.1186/1756-0500-6-554 Text en Copyright © 2013 Evers et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Evers, Julia JE
Vieth, Volker VV
Hartensuer, René RH
Raschke, Michael MJR
Vordemvenne, Thomas TV
Management of an extended clivus fracture: a case report
title Management of an extended clivus fracture: a case report
title_full Management of an extended clivus fracture: a case report
title_fullStr Management of an extended clivus fracture: a case report
title_full_unstemmed Management of an extended clivus fracture: a case report
title_short Management of an extended clivus fracture: a case report
title_sort management of an extended clivus fracture: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878031/
https://www.ncbi.nlm.nih.gov/pubmed/24365516
http://dx.doi.org/10.1186/1756-0500-6-554
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