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European Spine Journal

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01-07-2018 | Case Report

Anterior submandibular retropharyngeal odontoid osteotomy and posterior atlantoaxial fusion for irreducible atlantoaxial dislocation associated with odontoid fracture malunion

Authors: Cheng Li, Jingzhu Duan, Lei Li

Published in: European Spine Journal | Special Issue 3/2018

Abstract

Purpose

To report a case of complex odontoid fracture malunion accompanied by atlantoaxial dislocation which was treated with a new surgical approach.

Methods

A 53-year-old female was admitted due to progressive symptoms with a stiff limp and unsteady gait. Preoperative examination, diagnostic radiography, computed tomography, and magnetic resonance imaging were performed following admission. The examinations showed odontoid fracture malunion, an old right axial zygapophyseal fracture, atlantoaxial dislocation, and spinal cord injury. Anterior submandibular retropharyngeal odontoid osteotomy and posterior atlantoaxial fusion were then performed.

Results

Good reduction of the atlantoaxial dislocation was gained. The cervical spinal cord compression was significantly relieved and neurological function was also significantly improved.

Conclusion

Anterior submandibular retropharyngeal odontoid osteotomy and posterior atlantoaxial fusion fixation is an effective method for treating IAAD associated with odontoid fracture malunion, it avoids the adverse effects of anterior transoral odontoid osteotomy and provides a new option for the treatment of odontoid fracture malunion associated with atlantoaxial dislocation.

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Title: Anterior submandibular retropharyngeal odontoid osteotomy and posterior atlantoaxial fusion for irreducible atlantoaxial dislocation associated with odontoid fracture malunion
Authors: Cheng Li
Jingzhu Duan
Lei Li
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 3/2018
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5167-7

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Anterior submandibular retropharyngeal odontoid osteotomy and posterior atlantoaxial fusion for irreducible atlantoaxial dislocation associated with odontoid fracture malunion

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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