Safety and Efficacy of Anterior Odontoid Screw for the Management of Odontoid Fractures. A Series of 22 Patients.

Background Data: Several methods of treatment of odontoid fractures have been used. These have ranged from rigid immobilization to atlantoaxial fusion. Odontoid screw osteosynthesis is gaining popularity. Purpose: To define the efficacy and safety of odontoid screw fixation in the management of odon...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hossam Taha, Hesham Facharzt
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	Odontoid fracture upper cervical spine odontoid screw fixation anterior odontoid fixation osteosynthesis of odontoid Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/920e9bed29164cf78dcae01cc2bcb2fe
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:920e9bed29164cf78dcae01cc2bcb2fe
record_format	dspace
spelling	oai:doaj.org-article:920e9bed29164cf78dcae01cc2bcb2fe2021-12-02T01:10:27ZSafety and Efficacy of Anterior Odontoid Screw for the Management of Odontoid Fractures. A Series of 22 Patients.DOI:10.21608/ESJ.2012.37892314-89502314-8969https://doaj.org/article/920e9bed29164cf78dcae01cc2bcb2fe2012-07-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3789.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Several methods of treatment of odontoid fractures have been used. These have ranged from rigid immobilization to atlantoaxial fusion. Odontoid screw osteosynthesis is gaining popularity. Purpose: To define the efficacy and safety of odontoid screw fixation in the management of odontoid fractures and to report the clinical and radiological results. Study Design: A prospective cohort study of odontoid fractures treated with odontoid screw osteosynthesis. The study was conducted in Cairo university hospital, Egypt and AOA Neuro-spinal Centre, Libya in the period from January 2007 to October 2010. Patients and Methods: Over the period from January 2007 to October 2010, twenty two patients, 17 males and 5 females, with a mean age of 32.5 years were included in this study. These were 19 odontoid type-II and 3 shallow type-III fractures. All patients underwent odontoid screw fixation using a single screw. Results: Mean operative time was 80 minutes and mean blood loss 150 ml Patients were followed for a mean period of 20.6 months. Nineteen patients (87%) obtained a good or excellent result on the Smiley Webster scale. Fourteen patients (64%) obtained a bony union, 7 (32%) a stable fibrous union and one patient (4%) developed a pseudoarthrosis. One patient had a misplaced screw that was successfully revised and another patient had displacement of the screw with re-displacement of the fracture at three months follow up. He had removal of the screw and underwent atlanto-axial fusion. Conclusion: This study has proven the efficacy and safety of odontoid screw osteosynthesis in selected types of odontoid type II and shallow type III fractures. (2012ESJ024)Hossam Taha Hesham FacharztEgyptian Spine AssociationarticleOdontoid fractureupper cervical spineodontoid screw fixationanterior odontoid fixationosteosynthesis of odontoidNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 3, Iss 1, Pp 19-27 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Odontoid fracture upper cervical spine odontoid screw fixation anterior odontoid fixation osteosynthesis of odontoid Neurology. Diseases of the nervous system RC346-429
spellingShingle	Odontoid fracture upper cervical spine odontoid screw fixation anterior odontoid fixation osteosynthesis of odontoid Neurology. Diseases of the nervous system RC346-429 Hossam Taha Hesham Facharzt Safety and Efficacy of Anterior Odontoid Screw for the Management of Odontoid Fractures. A Series of 22 Patients.
description	Background Data: Several methods of treatment of odontoid fractures have been used. These have ranged from rigid immobilization to atlantoaxial fusion. Odontoid screw osteosynthesis is gaining popularity. Purpose: To define the efficacy and safety of odontoid screw fixation in the management of odontoid fractures and to report the clinical and radiological results. Study Design: A prospective cohort study of odontoid fractures treated with odontoid screw osteosynthesis. The study was conducted in Cairo university hospital, Egypt and AOA Neuro-spinal Centre, Libya in the period from January 2007 to October 2010. Patients and Methods: Over the period from January 2007 to October 2010, twenty two patients, 17 males and 5 females, with a mean age of 32.5 years were included in this study. These were 19 odontoid type-II and 3 shallow type-III fractures. All patients underwent odontoid screw fixation using a single screw. Results: Mean operative time was 80 minutes and mean blood loss 150 ml Patients were followed for a mean period of 20.6 months. Nineteen patients (87%) obtained a good or excellent result on the Smiley Webster scale. Fourteen patients (64%) obtained a bony union, 7 (32%) a stable fibrous union and one patient (4%) developed a pseudoarthrosis. One patient had a misplaced screw that was successfully revised and another patient had displacement of the screw with re-displacement of the fracture at three months follow up. He had removal of the screw and underwent atlanto-axial fusion. Conclusion: This study has proven the efficacy and safety of odontoid screw osteosynthesis in selected types of odontoid type II and shallow type III fractures. (2012ESJ024)
format	article
author	Hossam Taha Hesham Facharzt
author_facet	Hossam Taha Hesham Facharzt
author_sort	Hossam Taha
title	Safety and Efficacy of Anterior Odontoid Screw for the Management of Odontoid Fractures. A Series of 22 Patients.
title_short	Safety and Efficacy of Anterior Odontoid Screw for the Management of Odontoid Fractures. A Series of 22 Patients.
title_full	Safety and Efficacy of Anterior Odontoid Screw for the Management of Odontoid Fractures. A Series of 22 Patients.
title_fullStr	Safety and Efficacy of Anterior Odontoid Screw for the Management of Odontoid Fractures. A Series of 22 Patients.
title_full_unstemmed	Safety and Efficacy of Anterior Odontoid Screw for the Management of Odontoid Fractures. A Series of 22 Patients.
title_sort	safety and efficacy of anterior odontoid screw for the management of odontoid fractures. a series of 22 patients.
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/920e9bed29164cf78dcae01cc2bcb2fe
work_keys_str_mv	AT hossamtaha safetyandefficacyofanteriorodontoidscrewforthemanagementofodontoidfracturesaseriesof22patients AT heshamfacharzt safetyandefficacyofanteriorodontoidscrewforthemanagementofodontoidfracturesaseriesof22patients
_version_	1718403273034039296

Safety and Efficacy of Anterior Odontoid Screw for the Management of Odontoid Fractures. A Series of 22 Patients.

Ejemplares similares