Transoral reduction of irreducible posteriorly displaced odontoid fracture.
A case of type II odontoid fracture with irreducible posterior dislocation is presented. Cervical traction was employed but reduction could not be achieved with up to 15 kg of traction. The patient was treated with intraoperative transoral open reduction combined with anterior-posterior fixation. Rigid fixation and bone union were obtained without any complication in the 12-month follow-up. The patient has restricted C-spine rotation but no neck pain with movement. Transoral open reduction may be considered in patients with irreducible posteriorly displaced odontoid fracture.
Wang
Ting
T
Department of Spinal Surgery, Affiliated Hospital, Medical College of Qingdao University, Jiangsu Road 16, Qingdao 266003, China.
Zeng
Bingfang
B
Xu
Jianguang
J
D001268:Atlanto-Axial Joint / Q000002:abnormalities; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009809:Odontoid Process / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion; D016896:Treatment Outcome