Management of type II odontoid fractures for osteoporotic bone structure: Preliminary report

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Cosar M., Ozer A. F., Alkan B., Guven M., AKMAN T., Aras A. B., ...More

Turkish Neurosurgery, vol.25, no.2, pp.269-272, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 2
  • Publication Date: 2015
  • Doi Number: 10.5137/1019-5149.jtn.9083-13.1
  • Journal Name: Turkish Neurosurgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.269-272
  • Keywords: Cervical, Fracture, Odontoid fractures, Osteoporosis, Pseudoarthrosis
  • Istanbul Medipol University Affiliated: Yes

Abstract

AIM: Anterior transodontoid screw fixation technique is generally chosen for the management of type II odontoid fractures. The nonunion of type II odontoid fractures is still a major problem especially in elderly and osteoporotic patients. Eleven osteoporotic type II odontoid fracured patients were presented in this article. MATERIAL AND METHODS: We have divided 11 patients in two groups as classical and Ozer's technique. We have also compared (radiologically and clinically) the classical anterior transodontoid screw fixation (group II: 6 cases) and Ozer's transodontoid screw fixation technique (group I: 5 cases) retrospectively. RESULTS: There was no difference regaring the clinical features of the groups. However, the radiological results showed 100% fusion for Ozer's screw fixation technique and 83% fusion for the classical screw fixation technique. CONCLUSION: In conclusion, we suggest that Ozer's technique may help to increase the fusion capacity for osteoporotic type II odontoid fractures.