Neglected Odontoid Fracture During Growth

Odontoid Fracture: Computed Tomography

Atlanto-axial deformity secondary to a neglected odontoid fracture: a report of six cases.

We reviewed 6 patients with atlanto-axial (C1-2) deformities secondary to neglected odontoid fractures. All patients (except one with recent injury) were asymptomatic for a long period before development of neck pain or myelopathy, despite obvious subluxation and kyphotic deformities at the C1-2 joint complex. Patients were treated conservatively, except for one who underwent posterior spinal f...

Dens fracture or odontoid bone

Introduction During the embryological development the axis is formed from the proatlas, the C1 sclerotome and the C2 sclerotome. Failure of the odontoid process (C1 sclerotome) to fuse with the body of the axis (C2 sclerotome), or failure of the apex of the odontoid process (proatlas) to fuse with the main portion of the odontoid process has been advocated. The etiology of os odontoideum remain...

Odontoid process pathologic fracture in spinal tuberculosis.

Craniovertebral junction tuberculosis is a rare lesion in which treatment remains controversial. Options range from conservative treatment to surgery, independently of any associated neurological threat. We here report the first case of pathologic odontoid fracture in a context of spinal tuberculosis, complicated by unusual neurological evolution. The patient presented with non-contiguous multi...

Direct transoral reduction of anteriorly displaced type II odontoid fracture during anterior odontoid screw fixation: Review of literature

BACKGROUND The anteriorly displaced type II odontoid fracture is treated either conservatively by halo-vest brace immobilization or surgically by posterior atlantoaxial fusion. Anterior odontoid screw fixation is not advised for this pattern of odontoid fracture because of the difficult trajectory for screw insertion despite its advantage of salvaging the upper cervical spine rotatory range of ...