Odontoid Fracture with Locked Posterolateral Atlantoaxial Dislocation: A Case Report and Review of Literature.

Autor: Iyer RD; Department of Orthopaedics and Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Coimbatore, India., Mengesha MG, Shetty AP, Rajasekaran S
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2024 Sep 13; Vol. 14 (3). Date of Electronic Publication: 2024 Sep 13 (Print Publication: 2024).
DOI: e24.00187
Abstrakt: Case: Odontoid fractures with atlantoaxial dislocations are rare injuries. We report a case of a 41-year-old man with a Type 2 odontoid fracture with locket facet and posterolateral dislocation. He underwent single-stage C1-C4 posterior fixation and fusion, and at 2-year follow-up, he is symptom-free without any residual pain. Follow-up radiograph and CT scan show healed odontoid fracture with posterior fusion.
Conclusion: This case highlights successful management of a complex odontoid fracture by a single-stage posterior surgery. Closed reduction is usually unsuccessful, and open reduction using posterior approach is preferable.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C422).
(Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze: MEDLINE