title: Treatment of C2 body fracture with unusual distractive and rotational components resulting in gross instability.
abstract: Cervical fractures can result in severe neurological compromise and even death. One of the most commonly injured segments is the C2 vertebrae, which most frequently involves the odontoid process. In this report, we present the unusual case of a 28-year-old female who sustained a C2 vertebral body fracture (comminuted transverse fracture through the body and both transverse processes) that had both a significant distractive and rotational component, causing the fracture to be highly unstable. Application of halo bracing was unsuccessful. The patient subsequently required a C1-C4 posterior spinal fusion. Follow-up computer tomography imaging confirmed fusion and the patient did well clinically thereafter.
authors.affiliation: Darryl Lau, Paul Park, Department of Neurosurgery, University of Michigan, Ann Arbor, MI 48109, United States.
authors.forename: Darryl
authors.initials: D
authors.lastname: Lau
authors.forename: Samuel S
authors.initials: SS
authors.lastname: Shin
authors.forename: Rakesh
authors.initials: R
authors.lastname: Patel
authors.forename: Paul
authors.initials: P
authors.lastname: Park
keywords: C2; Distractive; Odontoid fracture; Rotational; Spine; Type III; Unstable