C1–2 POSTERIOR STABILIZATION IN ODONTOID FRACTURES
Journal Title: Journal of Turkish Spinal Surgery - Year 2013, Vol 24, Issue 2
Abstract
Odontoid fractures represent 9–15% of adult cervical fractures. These injuries have high mortality and morbidity rates. Surgery is recommended, particularly for type 2 fractures, because of high non-fusion rates and instability. Ten cases that received surgery at the Uludag University School of Medicine Department of Neurosurgery in 2010 due to odontoid fractures were examined retrospectively. Eight of the patients were men and two were women. The mean age was 54.1 (range: 35–80) years. The etiologies of the fractures were traffic accidents in four cases, falling from a height in four cases, and one case of a sporting accident, while one patient had no history of trauma. In preoperative examinations, there was no neurological deficit for eight patients, but two patients had tetraparesis. All patients received fixation surgery with lateral mass screws. There were no postoperative complications. The advantages of this technique are rotational stability, a low neurological injury rate, and a requirement for low amounts of bone grafts. There was no non-fusion in the long-term follow-up. This study suggests that posterior cervical stabilization with lateral mass screws performed by experienced surgeons is a good treatment alternative for odontoid fractures.
Authors and Affiliations
M. Özgür TAŞKAPILIOĞLU, Elif BAŞARAN, Ulaş AKTAŞ, Şeref DOĞAN
Keywords
Related Articles
- EP ID EP676755
- DOI -
- Views 125
- Downloads 0
DIAGNOSIS OF METASTATIC SPINAL TUMORS
Metastatic spread to the spinal column is a growing problem in patients with cancer. It can cause a number of sequelae including pain, ins-tability, and neurological deficit. The role of clini-cal history, physical exami...
COMPLICATIONS OF THE CERVICAL SPINE SURGERY
Close anatomical proximity to vital organs and technical difficulties pose an increased risk of complications in cervical spinal surgery. Certa-inly, spinal cord and spinal nerve injuries are the most important of these...
IDIOPATHIC SPINAL CORD HERNIATION
Idiopathic spinal cord herniation is a rare diagnosis. The differentiation of spinal cord herniation from arachnoid cyst is important. MRI (Magnetic Resonance Imaging) is helpful for the diagnosis. We report a patient wi...
CLINICAL RESULTS OF CALCIFIED THORACIC DISC HERNIATION TREATED WITH A TRANSPEDICULAR APPROACH
Introduction: Symptomatic thoracic disc herniations (TDHs) are relatively rare and challenging due to the wide variety of clinical presentations, a lack of consensus on the surgical indications, and the variety of sur...
EDITORIAL,
Dear Colleagues, We are happy to reach the first issue of 2013. First of all, I wish a happy New Year to all my colleagues and their families, and I wish the New Year to bring happiness, health and peace. As you know,...