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...

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Main Authors: Geraldo de Sá Carneiro, Deoclides Lima Bezerra Júnior, Juliano Rodrigues Chaves, Saul Cavalcanti de Medeiros Quinino, Aline Figueiras da Trindade
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
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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.
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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
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