title: Metastatic odontoid fracture management by anterior screw fixation and kyphoplasty.
abstract: We report the case of a patient diagnosed with a pathological fracture of the odontoid dens related to a renal carcinoma metastasis and treated by an original technique. In order to achieve correct stabilization of the fracture and to preserve rotational neck mobility, an anterior approach combining an odontoid screw fixation and a balloon kyphoplasty was performed. This minimal invasive strategy provided satisfactory clinical and radiological results for this unstable lesion. To our knowledge, this technique has not been previously reported and could be a valuable alternative approach in the management of craniocervical metastatic lesions for these fragile patients.
authors.forename: B
authors.initials: B
authors.lastname: Blondel
authors.forename: F
authors.initials: F
authors.lastname: Litré
authors.forename: T
authors.initials: T
authors.lastname: Graillon
authors.forename: T
authors.initials: T
authors.lastname: Adetchessi
authors.forename: H
authors.initials: H
authors.lastname: Dufour
authors.forename: S
authors.initials: S
authors.lastname: Fuentes
mesh_terms: D001859:Bone Neoplasms / Q000556:secondary*; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology; D058498:Kyphoplasty / Q000379:methods; D008297:Male; D008875:Middle Aged; D009809:Odontoid Process / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications; D016103:Spinal Fractures / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome