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European Spine Journal

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01-11-2011 | Original Article

Anterior single screw fixation of odontoid fracture with intraoperative iso-C 3-dimensional imaging

Authors: Yong Liang Yang, Bai Sheng Fu, Rachel W. Li, Paul N. Smith, Wei Dong Mu, Lian Xin Li, Dong Sheng Zhou

Published in: European Spine Journal | Issue 11/2011

Abstract

Purpose

The purpose of this study was to assess the value of isocentric C-arm three-dimensional (Iso-C 3D) fluoroscopy for the insertion of an anterior odontoid screw. The results of the Iso-C 3D group were compared with that of an historic control group using conventional fluoroscopy.

Methods

Twenty-nine patients diagnosed with type II or rostral-type III odontoid fractures were treated with a single anterior screw fixation in this study. The Iso-C 3D group included 13 patients and the other 16 patients were in the historic control group. All operations were performed by a single surgeon using standard procedure and manner. The clinical and radiographic results were recorded and compared between the two groups.

Results

The fluoroscopy time in the Iso-C 3D group was 42.9 s as compared to 68.1 s in the control group (P < 0.01). The mean operative time was 91.5 min in the Iso-C 3D group when compared with 81.6 min in the control group (P = 0.20). The rate of bony fusion was 96.6% (28/29), the failure rate of reduction or fixation was 13.8% (7.7% in Iso-C 3D group; 18.8% in control group). The Smiley–Webster scale showed that 90% of patients achieved good or better outcomes

Conclusions

In conclusion, this technique can be safely extended to the treatment of technically difficult to treat spinal injuries and at the same time reduce total radiation exposure time both for the patient and the surgeon.

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Title: Anterior single screw fixation of odontoid fracture with intraoperative iso-C 3-dimensional imaging
Authors: Yong Liang Yang
Bai Sheng Fu
Rachel W. Li
Paul N. Smith
Wei Dong Mu
Lian Xin Li
Dong Sheng Zhou
Publication date: 01-11-2011
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 11/2011
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-011-1860-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Anterior single screw fixation of odontoid fracture with intraoperative iso-C 3-dimensional imaging

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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