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Acta Neurochirurgica

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01-10-2009 | Case Report

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

Authors: Mark P. Piedra, Matthew A. Hunt, Andrew N. Nemecek

Published in: Acta Neurochirurgica | Issue 10/2009

Summary

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.

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Elias WJ, Ireland P, Chadduck JB (2006) Transoral digitally manipulated reduction of a ventrally displaced Type II odontoid fracture to aid in screw fixation. Case illustration. J Neurosurg Spine 4:82. doi:10.3171/spi.2006.4.1.82 CrossRefPubMed

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McLain RF (2001) Salvage of a malpositioned anterior odontoid screw. Spine 26:2381–2384. doi:10.1097/00007632-200111010-00016 CrossRefPubMed

Melcher RP, Puttlitz CM, Kleinstueck FS, Lotz JC, Harms J, Bradford DS (2002) Biomechanical testing of posterior atlantoaxial fixation techniques. Spine 27:2435–2440. doi:10.1097/00007632-200211150-00004 CrossRefPubMed

Shilpakar S, McLaughlin MR, Haid RW Jr, Rodts GE Jr, Subach BR (2000) Management of acute odontoid fractures: operative techniques and complication avoidance. Neurosurg Focus 8:6. Article 3.

Title: Anterior screw fixation of a dislocated type II odontoid fracture facilitated by transoral and posterior cervical manual reduction
Authors: Mark P. Piedra
Matthew A. Hunt
Andrew N. Nemecek
Publication date: 01-10-2009
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 10/2009
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-009-0231-7

At a glance: The STEP trials

Springer Medicine

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

Summary

Background

Case

Conclusion

At a glance: The STEP trials

Springer Medicine

Summary

Background

Case

Conclusion

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