Type II ondotoid fracture
Case report
Keywords:
Fracture, Atlanto-axial joint, Odontoid process, Joint instabilityAbstract
Background: Type II odontoid fractures are common and their treatment is still debated by different spine column groups at a national and international level. Objective: Submit a case and a review the literature. Presentation: This is about a young woman who suffers craniocervical trauma after a car accident, persisting neck pain days after conservative treatment. The woman is re-evaluate and it is found that there is a type II fracture, subjecting her to anterior fixation of the odontoid process. Discussion: Current clinical evidence does not allow making recommendations about the conservative or surgical management in this type of fracture. Neither treatment is free morbidity. Conclusion: It was decided to treat the patient by a minimal surgical procedure, indicated after the failure of the conservative treatment.
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References
Seybold EA, Bayley JC. Functional Outcome of Surgically and Conservatively Manager Dens Fractures. Spine. 1998; 23:1837-46.
Lennarson PJ, Mostafavi H, Traynelis VC, Wal- ters BC. Management of Type II Dens Frac- tures. A Case-Control Study. Spine. 2000; 25:1234-7.
Sim E, Berzlanovich A. Fatal Transdental Posterior Rotary Subluxation of the Cervical Spine. A Case Report. Spine. 1996; 21:1578- 83.
An HS. Cervical Spine Trauma. Spine. 1998; 23:2721-2.
Anderson LD, D’Alonzo RT. Fractures of the odontoid process of the axis. J Bone Joint Surg [Am]. 1974; 56:1663-74.
McLain RF. Salvage of a Malpositioned Ante- rior Odontoid Screw. Spine. 2001; 26:2381-4.
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