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Management of odontoid fractures with anterior screw fixation

, : Management of odontoid fractures with anterior screw fixation. Journal of Surgical Orthopaedic Advances 15(1): 38-42

Type II odontoid fractures are prone to undergo nonunion. Stabilization of such fractures with anterior screw fixation provides rigid internal fixation and preserves C1-C2 motion. During a 5-year period, 17 patients with displaced type II fractures of the odontoid were treated Thirteen were male and four were female with a mean age of 38.2 years. All patients were operated on for anterior screw fixation within a mean of 10.1 days from injury. Postoperatively, the patients were evaluated clinically and radiologically at regular intervals. With a mean follow-up of 3.2 years, union was observed in 16 of 17 patients (94%). One patient developed nonunion for which he required C1-C2 fusion subsequently. Screw back-out by a few millimeters was seen in another patient resulting in mild restriction of neck movements. No approach-related complications were noted. Anterior odontoid screw fixation has relatively low complication and high fusion rates. It not only restores normal anatomy but also gives better functional results by preserving intrinsic C1-C2 motion. Thus it should be considered the treatment of choice in acute displaced type II odontoid fractures.


PMID: 16603111

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Dalla-Favera, R., 2013: Lymphoid malignancies: many tumor types, many altered genes, many therapeutic challenges. The lymphoid tissues, including both the B and T cell lineages, are characterized by a unique level of biological complexity due to the anatomical organization of functionally distinct cell subpopulations and complex processes of genetic alteratio...

Hugenholtz, C.H.; Barchyn, T.E., 2011: Laboratory and field performance of a laser particle counter for measuring aeolian sand transport. This paper reports the results of laboratory and field tests that evaluate the performance of a new laser particle counter for measuring aeolian sand transport. The Wenglor(R) model YH03PCT8 ("Wenglor") consists of a laser (655 nm), phot...

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Suwadee Srihnawat, 1980: Development of ethics and legislation in the public health system. Thai Journal of Nursing 29(3): 132-136

Saletu, Bernd, 1993: Neurophysiological and psychometric evaluation of central effects of classic and novel antidepressants EEG mapping in depression. Mendlewicz, J , Brunello, N , Langer, S Z , Racagni, G International Academy for Biomedical and Drug Research; New pharmacological approaches to the therapy of depressive disorders 48-61

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Peirce, E.C.; II., 1967: Acid-base relationships in blood of Squalus acanthias preliminary nomogram. Bulletin of the Mount Desert Island Biological Laboratory, 7: 36-37

Ross, M.W.; Castleman, A.W., 2012: Ionization enhancement in silicon clusters and germanium atoms in the presence of zirconium. Molecules/clusters have been shown to undergo an enhancement in ionization under ultrafast laser pulses. This enhancement results in the lowering of the laser intensity required to observe ion signal from higher atomic charge states resulting from...

Caziot, C., 1925: Les Myriapodes du Department des Alpes-Maritimes et de la Principaute de Monaco. Riviera Scientifique Nice, 12: 3-8