Cargando…
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...
Autores principales: | , , , , |
---|---|
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 |
_version_ | 1782297737396486144 |
---|---|
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. |
format | Online Article Text |
id | pubmed-3878031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT eversjuliaje managementofanextendedclivusfractureacasereport AT viethvolkervv managementofanextendedclivusfractureacasereport AT hartensuerrenerh managementofanextendedclivusfractureacasereport AT raschkemichaelmjr managementofanextendedclivusfractureacasereport AT vordemvennethomastv managementofanextendedclivusfractureacasereport |