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A new transodontoid fixation technique for delayed type II odontoid fracture: technical note
(Elsevier Science Inc, 2009) Ozer, A. Fahir; Cosar, Murat; Oktenoglu, Tunc B.; Sasani, Mehdi; Iplikcioglu, A. Celal; Bozkus, Hakan; Bavbek, Cengiz
Background: A different transodontoid screw fixation technique Was studied in delayed type II odontoid fractures. This study presents observations oil a different transodontoid fixation technique to remove and decrease the amount of sclerotic layers to accelerate the Fusion process after the operation. Methods: Ten cases of chromic type II odontoid fractures, were operated oil via transodontoid screw fixation between 2000 and 2007 which were admitted 6 weeks or later after the trauma. Four of these 10 delayed patients were operated oil using a new anterior transodontoid screw fixation technique, whereas the other 6 delayed patients were operated On using, classical anterior transodontoid screw fixation. Results: Four delayed cases with type It odontoid fracture operated oil via this new technique had good results throughout the minimum 38 months' follow-up period. We did not observe nonunion, infection, and/or other complications such as vascular or brain-stern injury. Conclusion: Transodontoid screw fixation should be considered as a preferable treatment modality. This surgical intervention may be all alternative to conservative treatment even for cases with delayed type II odontoid fractures. (C) 2009 Elsevier Inc. All rights reserved.