• World Neurosurg · Jan 2018

    Case Reports

    Unilateral C1 Sagittal Split Fractures: An Unusual Entity Revisited.

    • Daniel R Felbaum, Jeffrey J Stewart, Zaev D Suskin, Waltus H Gill, and Faheem A Sandhu.
    • Department of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA.
    • World Neurosurg. 2018 Jan 1; 109: 263-270.

    BackgroundAn isolated, unilateral fracture of the C1 lateral mass is a rare condition that has been only minimally described in the literature. Historically, these fractures have predominantly been managed conservatively with either external immobilization or traction.Case DescriptionWe review the literature and present 2 patients that presented after failing conservative management, but demonstrated excellent clinical outcomes after surgical treatment.ConclusionsAfter failure of conservative management, unilateral sagittal split fractures may be safely and effectively managed with unilateral open reduction and placement of a lag screw.Copyright © 2017 Elsevier Inc. All rights reserved.

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