REDUCTION AND INTERNAL FIXATION OF COMPLEX FRACTURES OF THE ODONTOID BY THE TRANSORAL APPROACH
ABSTRACT Type II odontoid fractures with irreducible posterior displacement are uncommon, and can cause spinal cord compression, respiratory failure and even death. Treatment is usually surgical, with transoral decompression and posterior fusion or with reduction and fusion of C1-C2 by the transoral...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Coluna (SBC)
|
Series: | Coluna/Columna |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000400330&lng=en&tlng=en |
_version_ | 1818677465043697664 |
---|---|
author | Geraldo de Sá Carneiro Deoclides Lima Bezerra Júnior Juliano Rodrigues Chaves Saul Cavalcanti de Medeiros Quinino Aline Figueiras da Trindade |
author_facet | Geraldo de Sá Carneiro Deoclides Lima Bezerra Júnior Juliano Rodrigues Chaves Saul Cavalcanti de Medeiros Quinino Aline Figueiras da Trindade |
author_sort | Geraldo de Sá Carneiro |
collection | DOAJ |
description | ABSTRACT Type II odontoid fractures with irreducible posterior displacement are uncommon, and can cause spinal cord compression, respiratory failure and even death. Treatment is usually surgical, with transoral decompression and posterior fusion or with reduction and fusion of C1-C2 by the transoral approach. We describe a case of type II odontoid fracture with irreducible posterior atlantoaxial dislocation that was treated exclusively by the transoral approach with osteosynthesis of the odontoid, thus preserving functional segmental mobility. Level of Evidence III; therapeutic study. |
first_indexed | 2024-12-17T08:59:48Z |
format | Article |
id | doaj.art-957cf32a56ee4945a92662a480d14121 |
institution | Directory Open Access Journal |
issn | 2177-014X |
language | English |
last_indexed | 2024-12-17T08:59:48Z |
publisher | Sociedade Brasileira de Coluna (SBC) |
record_format | Article |
series | Coluna/Columna |
spelling | doaj.art-957cf32a56ee4945a92662a480d141212022-12-21T21:55:47ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X17433033210.1590/s1808-185120181704172951S1808-18512018000400330REDUCTION AND INTERNAL FIXATION OF COMPLEX FRACTURES OF THE ODONTOID BY THE TRANSORAL APPROACHGeraldo de Sá CarneiroDeoclides Lima Bezerra JúniorJuliano Rodrigues ChavesSaul Cavalcanti de Medeiros QuininoAline Figueiras da TrindadeABSTRACT Type II odontoid fractures with irreducible posterior displacement are uncommon, and can cause spinal cord compression, respiratory failure and even death. Treatment is usually surgical, with transoral decompression and posterior fusion or with reduction and fusion of C1-C2 by the transoral approach. We describe a case of type II odontoid fracture with irreducible posterior atlantoaxial dislocation that was treated exclusively by the transoral approach with osteosynthesis of the odontoid, thus preserving functional segmental mobility. Level of Evidence III; therapeutic study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000400330&lng=en&tlng=enAtlanto-axial jointArthrodesisFracture fixation, internalOdontoid processSpinal injuries |
spellingShingle | Geraldo de Sá Carneiro Deoclides Lima Bezerra Júnior Juliano Rodrigues Chaves Saul Cavalcanti de Medeiros Quinino Aline Figueiras da Trindade REDUCTION AND INTERNAL FIXATION OF COMPLEX FRACTURES OF THE ODONTOID BY THE TRANSORAL APPROACH Coluna/Columna Atlanto-axial joint Arthrodesis Fracture fixation, internal Odontoid process Spinal injuries |
title | REDUCTION AND INTERNAL FIXATION OF COMPLEX FRACTURES OF THE ODONTOID BY THE TRANSORAL APPROACH |
title_full | REDUCTION AND INTERNAL FIXATION OF COMPLEX FRACTURES OF THE ODONTOID BY THE TRANSORAL APPROACH |
title_fullStr | REDUCTION AND INTERNAL FIXATION OF COMPLEX FRACTURES OF THE ODONTOID BY THE TRANSORAL APPROACH |
title_full_unstemmed | REDUCTION AND INTERNAL FIXATION OF COMPLEX FRACTURES OF THE ODONTOID BY THE TRANSORAL APPROACH |
title_short | REDUCTION AND INTERNAL FIXATION OF COMPLEX FRACTURES OF THE ODONTOID BY THE TRANSORAL APPROACH |
title_sort | reduction and internal fixation of complex fractures of the odontoid by the transoral approach |
topic | Atlanto-axial joint Arthrodesis Fracture fixation, internal Odontoid process Spinal injuries |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000400330&lng=en&tlng=en |
work_keys_str_mv | AT geraldodesacarneiro reductionandinternalfixationofcomplexfracturesoftheodontoidbythetransoralapproach AT deoclideslimabezerrajunior reductionandinternalfixationofcomplexfracturesoftheodontoidbythetransoralapproach AT julianorodrigueschaves reductionandinternalfixationofcomplexfracturesoftheodontoidbythetransoralapproach AT saulcavalcantidemedeirosquinino reductionandinternalfixationofcomplexfracturesoftheodontoidbythetransoralapproach AT alinefigueirasdatrindade reductionandinternalfixationofcomplexfracturesoftheodontoidbythetransoralapproach |