Surgical treatment of odontoid fractures with C1 hook and C2 pedicle screw construct

Aydinli U., Kara G. K., Ozturk C., Seripoglu R.

ACTA ORTHOPAEDICA BELGICA, vol.74, no.2, pp.276-281, 2008 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 74 Issue: 2
  • Publication Date: 2008
  • Journal Name: ACTA ORTHOPAEDICA BELGICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.276-281
  • Bursa Uludag University Affiliated: Yes

Abstract

A number of approaches have been attempted to address the treatment of acute odontoid fractures, spanning from conservative treatment with an external orthotic device to posterior C1-C2 arthrodesis or anterior screw fixation. The current report describes stabilisation of such fractures with a C1 supralaminar hook and a C2 pars interarticularis screw construct. Two patients with odontoid fracture were treated by this technique. Two-year follow-up of both patients revealed complete union without complications. The authors stress that this technique avoids the hazards of C1 lateral mass screws.