Odontoid Screw Fixation Repair of Type II Odontoid Fractures


KALEMCİ O., Yucesoy K., YÜKSEL K. Z., KIZMAZOĞLU C., Guner M., Acar U.

JOURNAL OF NEUROLOGICAL SCIENCES-TURKISH, vol.28, no.3, pp.355-361, 2011 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 3
  • Publication Date: 2011
  • Journal Name: JOURNAL OF NEUROLOGICAL SCIENCES-TURKISH
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.355-361
  • Keywords: Upper cervical injuries, type II odontoid fractures, odontoid screwing, surgical treatment, AXIS
  • Dokuz Eylül University Affiliated: Yes

Abstract

Type II odontoid fractures are most commen types of upper cervical spinal injuries. It should be treated surgically because of the risk of sudden respiratory arrest and neurological deficits related to posterior slippage of odontoid body. Transoral odontoid resection and upper cervical stabilisation via posterior approach have been accepted as surgical treatment modalities for many years. Odontoid screwing method has been started as a a new surgical method with easy performance, low complication rate and cost-effect recently. Furthermore it has the advantage of non - limiting the rotational movement of the head. We operated on ten cases with type II odontoid fracture, four of them were female and six were male. Mean age was 61.8. No peroperative and postoperative complications were detected, and all of the cases were mobilised and discharged on the next day following surgery. Odontoid screwing method can be accepted as first choice for surgical treatment of type II odontoid fractures with compact transvers ligament.