A True Percutaneous Anterior Odontoid Screw Fixation: The Results of 42 Cases by a Single Surgeon

Sucu, Hasan Kamil

doi:10.1016/j.wneu.2022.07.125

Cited by 1 publication

(1 citation statement)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…25 The fibrous union may offer sufficient support. 35,36 In the absence of instability on flexion/extension views or ligamentous damage on an MRI scan, a stiff brace or HV may be used to facilitate fracture repair, which may occur in 12 weeks. 35 A conservative strategy may be justifiable for patients with excellent alignment, no dynamic instability, and no impairments.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiological Outcomes of Halo Vest Application for Type II and III Odontoid Fractures

Hashem,

Surur,

Hamad

2024

IJGM

View full text Add to dashboard Cite

To assess halo vest applications for type II and III odontoid fractures and to ascertain the radiological and clinical outcomes of this approach. Methods: A cross-sectional retrospective study was conducted by reviewing the medical charts of selected patients having type II and III odontoid fractures who underwent halo vest treatment at the King Saud Medical City Orthopaedic Department. Radiographic evaluations for the cervical spine (anterior-posterior, lateral, and open-mouth views) were used. Computed tomography scans were used to delineate the extent of the fracture and to measure the magnitude of displacement, the degree of the angulation, the vertebrae involved, and the fracture type. Results: A total of 45 patients with odontoid fractures (55.6% of the patients with type II odontoid fractures and 44.4% of patients with type III) received halo vest treatment. In the present study, in type II odontoid fractures, union was achieved in 15.6% of patients, 28.9% of patients had malunion and 11.1% had nonunion. In type III odontoid fractures, union cases comprised 15.6% of patients, while malunion cases accounted for 28.9% of patients and nonunion cases were found in 4.4% of the patients. Conclusion:The halo vest management for type II and III odontoid fracture requires a prolonged course of cervical immobilisation. Multiple factors contribute to the alteration of the management protocol, patient adherence, and difficulties related to HV, and a significant rate of reduction loss ultimately results in malunion or nonunion.

show abstract