Abdurrahim TAŞ, Abdurrahman AYCAN, Özkan ARABACI, Adem YOKUŞ, Harun ARSLAN

Anterior Stabilization Application With Odontoid Screw In A Patient With Type 2 Odontoid Fracture A Case Report

The treatment of type II odontoid fractures has been discussed for many years. Due to the complex anatomy of the craniocervical junction, many- questions are encountered in the diagnosis and treatment of such fractures. However, in centers without Neuro-navigation and O-arm, free hand technique still remains a viable option for the surgical treatment of such cases. Although there is no neuronavigation and O-arm in our center, we will present our case of type II odontoid screw placement with free hand technique that we successfully applied in our elderly patient with a Type II fracture

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Konieczny MR, Gstrein A, Müller EJ: Treatment algorithm for dens fractures: non halo immobilization, anterior screw fixation, or posterior transarticular C1–C2 fixation.J Bone Joint Surg Am 2012; 94: e144 (1–6).
Kim SK, Shin JJ, Kim TH, et al.: Clinical outcomes of halo-vest immobilization and surgical fusion of odontoid fractures.J Korean Neurosurg Soc 2011; 50: 17-22.
Nakanishi T, Sasaki T, Tokita N, Hirabayashi K. Internal fixation for the odontoid fracture. Orthop Trans 1982; 6: 176.
Böhler J. Anterior stabilization for acute fractures and nonunions of the dens. J Bone Joint Surg [Am] 1982; 64-A: 18-26.
Anderson L: Frachires of the odontoid process of the axis. BaileyR Sher H, Dunn E (eds), The Cervical Spine, Philedelphia: JBLippincott, 1983: 206-223.
Chi YL, Wang XY, Xu HZ, Lin Y, Huang OS, Mao FM:Management of odontoid fractures with percutaneous anteriorodontoid screw fixation. Eur Spine J 2007; 16: 1157-1164.
Anderson LD, D'Alonzo RT. Fractures of the odontoid process of the axis. The Journal of Bone and Joint Surgery. 1974; Vol. 56 A, No. 8.
Schatzker J, Rorabeck CH,Waddell JP. Fractures of the dens (odontoid process). An analysis of thirty-seven cases. J Bone Joint Surg 1971; 53A: 392-405.
Wellington K. Hsu, and Paul A. Anderson, Odontoid Fractures: Update on Management, journal of the American Academy of Orthopaedic Surgeons, July 2010; 8: No 7
Müller EJ, Schwinnen I, Fischer K, WickM, Muhr G: Non-rigid immobilisationof odontoid fractures.Eur Spine J 2003; 12: 522-525.
jaiswal A, Shetty AP, Rajasekaran S: Role of intraoperative Iso-C based navigation in challenging spine trauma.Indian J Orthop. 2007; 41: 312-317.
Munakomi S,Tamrakar K,Chaudhary PK et al: Anterior single odontoid screw placement for type IIodontoid fractures: our modified surgical technique and initialresults in a cohort study of 15 patients[version 2; referees: 2approved]. F1000Research 2016; 5: 1681.
Shilpakar S, McLaughlin MR, Haid RW Jr, et al.: Management of Acute Odontoid Fractures: Operative Techniques and Complication Avoidance.Neurosurg Focus 2000; 8: 3.1-7.
Graziano G, Jaggers C, Lee M, et al.: A comparative study of fixation techniques for Type II fractures of the odontoid process.Spine (Phila Pa 1976) 1993; 18: 2383- 2387.
Aebi M, Etter C, Coscia M: Fractures of the odontoid process. Treatment with anterior screw fixation.Spine (Phila Pa 1976) 1989; 14: 1065-1070.
Kazan S, Tuncer R, Sindel M: Percutaneous anterior odontoidscrew fixation technique: A new instrument and a cadaveric study.Acta Neurochir (Wien) 1999; 141: 521-524.
Jenkins JD, Coric D, Branch CL Jr: A clinical comparison of oneand two-screw odontoid fixation.J Neurosurg 1998; 89: 366-370.
Subach BR, Morone MA, Haid RW Jr, et al.: Management of acute odontoid fractures with single-screw anterior fixation.Neurosurgery. 1999; 45: 812-820.
Andersson S, Rodrigues M, Olerud C: Odontoid fractures: high complication rate associated with anterior screw fixation in the elderly.Eur Spine J 2000; 9: 56-59.
Wilson DA, Fusco DJ, Theodore N: Delayed subarachnoid hemorrhage following failed odontoid screw fixation.J Neurosurg Spine. 2011; 14: 715-718.
Jaiswal A, Sharma MS, Behari S, et al.: Current Management of odontoid fractures. Review Article. Indian J Neurotrauma 2005; 2: 3-6.
Tian NF, Hu XQ, Wu LJ, et al.: Pooled analysis of non-union, re-operation, infection, and approach related complications after anterior odontoid screw fixation. Shamji M, ed. PLoS One 2014; 9: e103065.