Surgical treatment of odontoid fractures with C1 hook and C2 pedicle screw construct.
A number of approaches have been attempted to address the treatment of acute odontoid fractures, spanning from conservative treatment with an external orthotic device to posterior C1-C2 arthrodesis or anterior screw fixation. The current report describes stabilisation of such fractures with a C1 supralaminar hook and a C2 pars interarticularis screw construct. Two patients with odontoid fracture were treated by this technique. Two-year follow-up of both patients revealed complete union without complications. The authors stress that this technique avoids the hazards of C1 lateral mass screws.
Aydinli
Ufuk
U
Uludag University Medical Faculty, Department of Orthopaedic Surgery, Bursa, Turkey.
Kara
Gokhan K
GK
Ozturk
Cagatay
C
Serifoglu
Rasim
R
D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D006801:Humans; D008297:Male; D009809:Odontoid Process / Q000293:injuries*; D009984:Orthopedic Fixation Devices; D016103:Spinal Fractures / Q000601:surgery*; D013525:Surgical Instruments