Anterior Trans-odontoid Screw Fixation in Odontoid Fractures

Background Data: Traumatic injury of the axis odontoid process is not uncommon disorder. The options for management include either conservative treatment in the form external stabilization or surgical treatment. Surgical intervention include posterior C1-2 fixation which although of its high fusion...

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Autores principales:	Mohamed Mohamed, Mohamed A Hewedy
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2017
Materias:	odontoid fractures anterior fixation cervical spine Trauma Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/3b6ca9f36b8b4ab0815ad812bfd1de3b
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spelling	oai:doaj.org-article:3b6ca9f36b8b4ab0815ad812bfd1de3b2021-12-02T02:53:41ZAnterior Trans-odontoid Screw Fixation in Odontoid FracturesDOI:10.21608/ESJ.2017.56362314-89502314-8969https://doaj.org/article/3b6ca9f36b8b4ab0815ad812bfd1de3b2017-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_5636.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Traumatic injury of the axis odontoid process is not uncommon disorder. The options for management include either conservative treatment in the form external stabilization or surgical treatment. Surgical intervention include posterior C1-2 fixation which although of its high fusion rate, it is not a risk free procedure. Anterior trans-odontoid screw fixation gave a comparable fusion rate and at the same time preserves the segment motion. Purpose: to evaluate the safety and efficacy of the anterior trans-odontoid screw fixation in odontoid fractures. Study Design: a retrospective clinical case study. Patients and Methods: The medical records of ten patients who underwent anterior-trans-odontoid screw fixation for type II and shallow type III odontoid fracture were reviewed. The study was conducted in Cairo University Hospitals from January 2012 to May 2015. The Anderson and D’Alonzo classification system for odontoid xc abh35gfes3AWQfractures was used for patient enrollment. All patients were of less than six months duration. Frankel grading system was used for clinical assessment. Results: Ten patients (8 males and 2 females) with a mean age of 37.2 years old were included. Their age ranged from 21 to 55 years. Four cases suffered shallow Type III and six were Type II fractures according to the Anderson and D’Alonzo system. Good outcome results either radiological or clinical were achieved in all patients and all inserted screws were in proper placement. After a mean follow-up of 6 months radiographic fusion was documented in 8 of 9 patients (89%).Conclusion: anterior trans-odontoid screw can be considered a good choice of surgical treatment dens fractures. Excellent fusion rate could be achieved without significant morbidity and early mobilization. (2017ESJ125)Mohamed MohamedMohamed A HewedyEgyptian Spine Associationarticleodontoid fracturesanterior fixationcervical spineTraumaNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 22, Iss 1, Pp 41-49 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	odontoid fractures anterior fixation cervical spine Trauma Neurology. Diseases of the nervous system RC346-429
spellingShingle	odontoid fractures anterior fixation cervical spine Trauma Neurology. Diseases of the nervous system RC346-429 Mohamed Mohamed Mohamed A Hewedy Anterior Trans-odontoid Screw Fixation in Odontoid Fractures
description	Background Data: Traumatic injury of the axis odontoid process is not uncommon disorder. The options for management include either conservative treatment in the form external stabilization or surgical treatment. Surgical intervention include posterior C1-2 fixation which although of its high fusion rate, it is not a risk free procedure. Anterior trans-odontoid screw fixation gave a comparable fusion rate and at the same time preserves the segment motion. Purpose: to evaluate the safety and efficacy of the anterior trans-odontoid screw fixation in odontoid fractures. Study Design: a retrospective clinical case study. Patients and Methods: The medical records of ten patients who underwent anterior-trans-odontoid screw fixation for type II and shallow type III odontoid fracture were reviewed. The study was conducted in Cairo University Hospitals from January 2012 to May 2015. The Anderson and D’Alonzo classification system for odontoid xc abh35gfes3AWQfractures was used for patient enrollment. All patients were of less than six months duration. Frankel grading system was used for clinical assessment. Results: Ten patients (8 males and 2 females) with a mean age of 37.2 years old were included. Their age ranged from 21 to 55 years. Four cases suffered shallow Type III and six were Type II fractures according to the Anderson and D’Alonzo system. Good outcome results either radiological or clinical were achieved in all patients and all inserted screws were in proper placement. After a mean follow-up of 6 months radiographic fusion was documented in 8 of 9 patients (89%).Conclusion: anterior trans-odontoid screw can be considered a good choice of surgical treatment dens fractures. Excellent fusion rate could be achieved without significant morbidity and early mobilization. (2017ESJ125)
format	article
author	Mohamed Mohamed Mohamed A Hewedy
author_facet	Mohamed Mohamed Mohamed A Hewedy
author_sort	Mohamed Mohamed
title	Anterior Trans-odontoid Screw Fixation in Odontoid Fractures
title_short	Anterior Trans-odontoid Screw Fixation in Odontoid Fractures
title_full	Anterior Trans-odontoid Screw Fixation in Odontoid Fractures
title_fullStr	Anterior Trans-odontoid Screw Fixation in Odontoid Fractures
title_full_unstemmed	Anterior Trans-odontoid Screw Fixation in Odontoid Fractures
title_sort	anterior trans-odontoid screw fixation in odontoid fractures
publisher	Egyptian Spine Association
publishDate	2017
url	https://doaj.org/article/3b6ca9f36b8b4ab0815ad812bfd1de3b
work_keys_str_mv	AT mohamedmohamed anteriortransodontoidscrewfixationinodontoidfractures AT mohamedahewedy anteriortransodontoidscrewfixationinodontoidfractures
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Anterior Trans-odontoid Screw Fixation in Odontoid Fractures

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