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.
Uludag University Medical Faculty, Department of Orthopaedic Surgery, Bursa, Turkey.
Ufuk
U
Aydinli
Gokhan K
GK
Kara
Cagatay
C
Ozturk
Rasim
R
Serifoglu
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