Atlantoaxial Fixation for Odontoid Fracture: Analysis of 124 Surgically Treated Cases

Goel, Atul; Jain, Sonal; Shah, Abhidha; Patil, Abhinandan; Vutha, Ravikiran; Ranjan, Shashi; More, Sandeep

doi:10.1016/j.wneu.2017.08.192

Cited by 22 publications

(21 citation statements)

References 18 publications

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“…As our data suggest, a small percentage of fractures cannot be adequately treated with external immobilization and will require fusion surgery. [ 22 ] Nonetheless, a trial of nonoperative management should be attempted with close monitoring. If instability is detected or patient progresses to a nonunion, delayed surgery can be conducted with efficacious outcomes.…”

Section: Discussionmentioning

confidence: 99%

Type III odontoid fractures: A subgroup analysis of complex, high-energy fractures treated with external immobilization

Niemeier

Dyas

Manoharan

et al. 2018

J Craniovert Jun Spine

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Section: Discussionmentioning

confidence: 99%

Type III odontoid fractures: A subgroup analysis of complex, high-energy fractures treated with external immobilization

Niemeier

Dyas

Manoharan

et al. 2018

J Craniovert Jun Spine

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“…Según la literatura, el rango de consolidación de la FO y la fusión ósea esta entre 85% y 100% (12). En FO tipo II aguda, esta técnica es la mejor opción por su simplicidad y la preservación del movimiento normal de la rotación atlanto-axial (7). La fijación con tornillo canulado anterior se ha establecido como la técnica quirúrgica más utilizada en FO inestables en pacientes adultos mayores (13).…”

Section: Técnicas Quirúrgicasunclassified

Fractura de odontoides y tipos de tratamiento quirúrgicos

Ruiz¹,

Ramírez²,

Arrieta³

2021

Rev.méd.sinerg.

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La fractura de Odontoides se presente en un elevado porcentaje de todas las fracturas de columna cervical. En dos grupos etarios opuestos, adultos jóvenes por trauma de alta energía y adultos mayores por trauma de baja energía. Se realiza diagnóstico con estudios de imágenes las cuales permiten aplicar clasificación de Aderson y D`Alonzo de los tipos de fracturas de odontoides. Esta clasificación se utiliza en la práctica clínica como guía de tratamiento; junto con indicaciones especificas permiten determinar los casos de manejo quirúrgico. Según los criterios, se elige el abordaje quirúrgico más apropiado para cada caso. Las técnicas quirúrgicas como tratamiento de la fractura de odontoides, tienen ventajas y desventajas para la recuperación del paciente.

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“…C1, C2, and C3 pedicle screw insertion was performed through the posterior approach as previously described. [21,22,4] To make sure that the screw and bone were appropriately xed, X-ray and CT scans were performed. Finally, the wound was rinsed and the incisions closed.…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…The atlantoaxial complex bears approximately 50% of rotary motion and 12% of exion and extension movement of the cervical spine. [1][2][3][4] The atlantoaxial joint was superior articular processes of C2 articulate with the inferior articular process of C1, which allow for rotation around the dens. Axis (C2) is a unique vertebra in that it serves as the transition from the upper cervical spine to the lower cervical spine.…”

Section: Introductionmentioning

confidence: 99%

“…[11][12][13] Odontoid fractures can causes the atlantoaxial instability, which may cause neck pain and stiffness, activity limitation, and progressive compression of the spinal cord. [14,4,15] As another special fractures of axis, Hangman's fractures was the pedicles fractures of C2 which may led to traumatic spondylolisthesis of the axis. [16,17] Levin and Edwards classi ed the C2 pedicles fractures into four types, and unstable fractures indicated for surgery.…”

Section: Introductionmentioning

confidence: 99%

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Cervical pedicle screws fixation treatment the atlantoaxial instability of axis burst fractures

Yan¹,

Zhang²,

Zhang

2020

Preprint

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BackgroundAlthough the cervical pedicle screws and rods were used for atlantoaxial instable, the axis fractures still a challenge for spine surgeon. ObjectiveThis study was to evaluated the clinical outcomes of axis burst fractures had C1C3 pedicles screws fixation treatment. MethodsFrom June 2014 to July 2018, 45 patients with axis fractures were enrolled in this study; 23 patients was odontoid underwent C1C2 pedicles screws fixation, and 21 patients was odontoid combine body fractures had C1C3 pedicles screws fixation. The clinical outcomes of pain relief (visual analog scale, VAS), functional disability (neck disability index, NDI) were recorded at baseline and at the final follow-up. ResultsThe pain index and NDI were all significantly improved when compared to pretreatment (P < 0.01).The VAS and ND were no significant difference between two groups (P > 0.05). All patients, suffered from severe mechanical upper cervical neck pain at pre-operative, were pain free post-operation. Preoperative neurological examination was normal in all patients, and remained the same after surgery.All cases showed normal neurological function at the final follow-up. No vascular or neurological complication was noted. The fracture healing and the bony union of the fixed segments were revealed in all cases on CT views. Implant failure and instability were not seen on lateral flexion/extension radiographs of the cervical spine. ConclusionsCervical pedicle screws fixation was effective and safe procedures in the treatment of traumatic spondylolisthesis of axial fractures. The atlantoaxial instable of axis burst fractures can be managed with C1-C3 pedicles screws fixation. AcknowledgementsWe sincerely appreciated the genial help from all scholars who contributed to our research. AbbreviationsVAS: visual analog scale NDI: neck disability index 9 CT: computer tomography MRI: magnetic resonance imaging

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Atlantoaxial Fixation for Odontoid Fracture: Analysis of 124 Surgically Treated Cases

Cited by 22 publications

References 18 publications

Type III odontoid fractures: A subgroup analysis of complex, high-energy fractures treated with external immobilization

Type III odontoid fractures: A subgroup analysis of complex, high-energy fractures treated with external immobilization

Fractura de odontoides y tipos de tratamiento quirúrgicos

Cervical pedicle screws fixation treatment the atlantoaxial instability of axis burst fractures

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