Anterior screw fixation of a dislocated type II odontoid fracture facilitated by transoral and posterior cervical manual reduction.
BACKGROUND
Early fixation of type II odontoid fractures has been shown to provide high rates of long-term stabilization and osteosynthesis.


METHODS
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.


CONCLUSIONS
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.
Department of Neurological Surgery, Oregon Health & Science University, Mail Code: CH8N, 3303 SW Bond Avenue, Portland, OR 97239, USA.
Mark P
MP
Piedra
Matthew A
MA
Hunt
Andrew N
AN
Nemecek
D000063:Accidents, Traffic; D000328:Adult; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D001863:Bone Screws; D001270:Cervical Atlas / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D004867:Equipment Design / Q000379:methods; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D016268:Internal Fixators; D007430:Intraoperative Care / Q000379:methods*; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery; D020393:Manipulation, Spinal / Q000379:methods*; D009055:Mouth / Q000033:anatomy & histology; D009809:Odontoid Process / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods; D010614:Pharynx / Q000033:anatomy & histology; D011312:Pressure; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods; D013117:Spinal Cord Compression / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D013314:Stress, Mechanical; D016896:Treatment Outcome