Odontoid fractures remain the most common C2 fracture and of those individuals older than 65 years. The type of optimal management remains in question given comorbidities, risk of nonunion, and limitations in mobility when surgical fusion is the treatment selected. These fractures are of particular importance, given the high incident of morbidity and mortality following an odontoid fracture. Overall quality of life remains a significant consideration when selecting the best intervention following careful examination and confirmation with radiographic imaging. The literature continues with controversies in the best treatment interventions for these fractures, resulting in a case-by-case decision-making process.
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Odontoid/Dens Fractures.
Adv Emerg Nurs J
January 2024
School of Nursing, School of Health Science and Education, Saint Francis University, Loretto, Pennsylvania, and Advanced Kidney Care Medical Associates, Pittsburgh, Pennsylvania (Dr Good); School of Nursing, Education and Human Studies, Robert Morris University, Moon Township, Pennsylvania (Dr Ramponi); and Urgent Care Clinics in Convenient Care Clinics, Heritage Valley Health System, Pittsburgh, Pennsylvania (Drs Good and Ramponi).
Odontoid fractures remain the most common C2 fracture and of those individuals older than 65 years. The type of optimal management remains in question given comorbidities, risk of nonunion, and limitations in mobility when surgical fusion is the treatment selected. These fractures are of particular importance, given the high incident of morbidity and mortality following an odontoid fracture.
View Article and Find Full Text PDFCase report: Challenging post-traumatic pseudoarthrosis of C2 odontoid fracture and extreme C1-C2 subluxation.
Surg Neurol Int
April 2022
Department of Neurosurgery, Centro Hospitalar Universitário do Algarve, Faro, Portugal.
Background: Type II C2 odontoid fractures are common traumatic cervical spine lesions and have the highest risk of non-union without fusion. Pseudoarthrosis may lead to extreme anatomic deformation, and poor clinical outcomes. A 50-year-old male, following a traumatic C2 dens fracture treated when the patient was 44 years of age, newly presented at age 50 with pseudoarthrosis and severe C1-C2 subluxation that required a secondary fusion using a three-dimensional (3D) printed model for appropriate surgical planning.
View Article and Find Full Text PDFPosterior temporary C1-2 fixation for 3-part fractures of the axis (odontoid dens and Hangman fractures).
Medicine (Baltimore)
November 2018
Spine Center, Qilu Hospital of Shandong University.
Case series study.To report the clinical outcomes of posterior temporary C1-2 fixation for 3-part fracture of the axis (Type II odontoid fracture according to Grauer classification combined with Hangman fracture).The 3-part fracture of the axis is rare and the treatment is controversy.
View Article and Find Full Text PDFBiomechanical Assessment of Stabilization of Simulated Type II Odontoid Fracture with Case Study.
Asian Spine J
February 2017
Musculoskeletal Education and Research Center (MERC), A Division of Globus Medical, Inc., Audubon, PA, USA.
Study Design: Researchers created a proper type II dens fracture (DF) and quantified a novel current posterior fixation technique with spacers at C1-C2. A clinical case study supplements this biomechanical analysis.
Purpose: Researchers explored their hypothesis that spacers combined with posterior instrumentation (PI) reduce range of motion significantly, possibly leading to better fusion outcomes.
Simultaneous anterior and posterior screw fixations confined to the axis for stabilization of a 3-part fracture of the axis (odontoid, dens, and hangman fractures): report of 2 cases.
J Neurosurg Spine
March 2014
Department of Orthopedics, Funabashi Municipal Medical Center, Chiba, Japan.
Fractures of the axis are considered to be one of the most common injuries to the cervical spine, accounting for more than 20% of all cervical spine fractures. Multiple fractures of the axis are much rarer, accounting for 1% of all cervical fractures. Management of such complex fractures is still challenging, and there is no strong consensus for the treatment.
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