Anterior screw fixation of a dislocated type II odontoid fracture facilitated by transoral and posterior cervical manual reduction

Acta Neurochir (Wien). 2009 Oct;151(10):1309-13. doi: 10.1007/s00701-009-0231-7. Epub 2009 Apr 17.

Abstract

Background: Early fixation of type II odontoid fractures has been shown to provide high rates of long-term stabilization and osteosynthesis.

Case: In this report, the authors present the case of a patient with a locked type II odontoid fracture treated by anterior screw fixation facilitated by closed transoral and posterior cervical manual reduction.

Conclusion: While transoral intraoperative reduction of a partially displaced odontoid fracture has previously been described, the authors present the first case utilizing this technique in the treatment of a completely dislocated type II odontoid fracture.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Adult
  • Atlanto-Axial Joint / diagnostic imaging
  • Atlanto-Axial Joint / injuries
  • Atlanto-Axial Joint / surgery
  • Bone Screws
  • Cervical Atlas / diagnostic imaging
  • Cervical Atlas / injuries
  • Cervical Atlas / surgery
  • Equipment Design / methods
  • Female
  • Fracture Fixation, Internal / methods
  • Fractures, Ununited / diagnostic imaging
  • Fractures, Ununited / surgery
  • Humans
  • Internal Fixators
  • Intraoperative Care / methods*
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / pathology
  • Joint Dislocations / surgery
  • Joint Instability / diagnostic imaging
  • Joint Instability / surgery
  • Manipulation, Spinal / methods*
  • Mouth / anatomy & histology
  • Odontoid Process / diagnostic imaging
  • Odontoid Process / injuries*
  • Odontoid Process / surgery*
  • Orthopedic Procedures / methods
  • Pharynx / anatomy & histology
  • Plastic Surgery Procedures / methods
  • Pressure
  • Radiography
  • Spinal Cord Compression / etiology
  • Spinal Cord Compression / physiopathology
  • Spinal Cord Compression / prevention & control
  • Spinal Fractures / diagnostic imaging
  • Spinal Fractures / pathology
  • Spinal Fractures / surgery*
  • Spinal Fusion / instrumentation
  • Spinal Fusion / methods*
  • Stress, Mechanical
  • Treatment Outcome