Combined double fracture of the odontoid process and fracture of the atlas

Korres, Demetrios S.; Babis, George C.; Evangelopoulos, Demetrios; Zoubos, Aristides B.; Nomikos, George N.; Kokkinis, Constantinos

doi:10.1007/s00590-004-0205-7

Cited by 6 publications

(2 citation statements)

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“…12 Korres et al reported a case of a double fracture of the odontoid process and anterior arch of the atlas in an elderly patient, but no follow-up was possible as the patient died of unrelated cardiopulmonary insufficiency after 10 days. 13 There are no high-level evidence studies evaluating the management of this combined fracture pattern. On the basis of a systematic review with level III evidence, recommendations for the treatment of combination atlas-axis fractures have been suggested to be based primarily on the specific characteristics of the axis fracture.…”

Section: Discussionmentioning

confidence: 99%

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Combined Type II Odontoid Fracture With Axis Anterior Arch Fracture

Malagelada

Tibrewal

Lucar

et al. 2014

Geriatr Orthop Surg Rehabil

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Associated fractures of the atlas and axis are frequent, particularly in the elderly patients following a simple low-energy fall. This injury can be easily misdiagnosed on initial plain radiographs, and therefore computed tomography scan is a useful adjunct in patients with a degenerative spine. There is still no consensus as to the optimal treatment of combined axis-atlas fractures, and the majority of authors propose a therapeutic strategy dependent on the odontoid fracture pattern. We describe a combined atlas and axis fracture in a 92-year-old patient who was managed with nonoperative treatment in a rigid collar. The association of C1 anterior arch with a C2 type II odontoid fracture is a rare combination, which to our knowledge has never been reported following nonoperative treatment. There was a good functional outcome at 1-year follow-up with the fracture progressing to a fibrous nonunion of the odontoid process.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%