Transoral reduction of irreducible posteriorly displaced odontoid fracture

European Spine Journal

Jianguang Xu¹  Ting Wang²  Bingfang Zeng¹ 

[1] Department of Orthopaedics, Sixth People’s Hospital (Affiliated to Shanghai Jiaotong University), Yishan Road 600, Shanghai, 200233 China;Department of Spinal Surgery, Affiliated Hospital, Medical College of Qingdao University, Jiangsu Road 16, Qingdao, 266003 China

关键词: Odontoid fracture;    Posterior displacement;    Transoral;   

DOI  :  10.1007/s00586-010-1596-2

学科分类：骨科学

来源: Springer

【 摘 要 】

A case of type II odontoid fracture with irreducible posterior dislocation is presented. Cervical traction was employed but reduction could not be achieved with up to 15 kg of traction. The patient was treated with intraoperative transoral open reduction combined with anterior–posterior fixation. Rigid fixation and bone union were obtained without any complication in the 12-month follow-up. The patient has restricted C-spine rotation but no neck pain with movement. Transoral open reduction may be considered in patients with irreducible posteriorly displaced odontoid fracture.

【 授权许可】

Unknown