Surgical management of a combined fracture of the odontoid process with an atlas posterior arch disruption: a review of four cases.
Four cases of operated odontoid process fractures associated with a fracture of the posterior arch of the atlas are presented. Three types of surgery were performed: atlas-axis fusion, occipitocervical fusion, and odontoid process screw fixation. Based on a literature review and our experience, the therapeutic management is discussed according to the type of odontoid fracture and the presence of neurological involvement, with a reminder that wiring is not indicated when C1 posterior arch continuity is compromised.
Department of Orthopaedics and Traumatology, Meaux Hospital, 6, bis rue Saint-Fiacre, 77100, Meaux, France.
K
K
Ben Aïcha
C
C
Laporte
W
W
Akrout
A
A
Atallah
G
G
Kassab
D
D
Jégou
D000058:Accidental Falls; D000063:Accidents, Traffic; D000368:Aged; D000369:Aged, 80 and over; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods; D001268:Atlanto-Axial Joint / Q000293:injuries / Q000601:surgery; D001863:Bone Screws; D001270:Cervical Atlas / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery; D009809:Odontoid Process / Q000000981:diagnostic imaging / Q000293:injuries*; D011183:Postoperative Complications / Q000175:diagnosis / Q000401:mortality; D011859:Radiography; D018570:Risk Assessment; D012494:Sampling Studies; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects / Q000379:methods; D015996:Survival Rate; D013997:Time Factors; D055815:Young Adult