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Journals / Journal of Turkish Spinal Surgery / 2013 / Cilt: 24 - Sayı: 2

C1-2 posterior stabilization at odontoid fractures

Odontoid kırıklarında c1-2 posterior stabilizasyon

M. Özgür TAŞKAPILIOĞLU
Elif BAŞARAN
Ulaş AKTAŞ
Şeref DOĞAN
Pages
135–141
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Especially surgery is recommended for the type 2 fractures because of high nonunion rates and instability.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Odontoid fractures are composed of 9-15 % of the adult cervical fractures.
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Key Findings & Data:These injuries have high mortality and morbidity rates.
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Conclusion & Impact:Especially surgery is recommended for the type 2 fractures because of high nonunion rates and instability.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

Odontoid fractures are composed of 9-15 % of the adult cervical fractures. These injuries have high mortality and morbidity rates. Especially surgery is recommended for the type 2 fractures because of high nonunion rates and instability. Ten cases that were operated at the Uludag University School of Medicine Department of Neurosurgery in 2010 because of the odontoid fractures were examined retrospectively. Eight of the patients were men and 2 of them were women. Mean age was 54.1 (min35, max 80) years. Etiology of the patients were traffi c accident for 4 cases, fall from high for 4 cases, and 1 patient have no history of trauma. There were no neurological defi cit at 8 patients but 2 patients have tetraparesis. All patients were operated by lateral mass stabilization. There were no postoperative complications. Rotational stability, low neurological injury rate and requiring low amount of bone chips are the advantages of this techniques. There is no nonfusion at long term follow-up. Posterior cervical fusion by lateral mass screw performed by experienced surgeons is a good treatment alternative for odontoid fractures.

Özet

Odontoid kırıkları erişkin yaş grubunda servikal kırıkların % 9-15’ini oluşturur. Bu yaralanmalar yüksek mortalite ve morbidite ile beraberdir. Yüksek kaynamama oranı ve instabilite nedeniyle özellikle tip 2 kırıklar için cerrahi önerilmektedir. İki bin on yılı içinde Uludağ Üniversitesi Tıp Fakültesi Nöroşirurji Ana Bilim Dalında odontoid kırığı nedeniyle cerrahi olarak tedavi edilen 10 olgu retrospektif olarak incelendi. Sekiz hasta erkek, 2 hasta kadın idi. Yaş ortalaması 54.1 (En az 35, en çok 80) idi. Olguların 4 (% 40)’ü trafik kazası nedeniyle, 4’ü düşme nedeniyle başvururken 1 hastanın etyolojisinde travma yoktu. 8 hastanın ameliyat öncesi nörolojik muayenesinde defisit izlenmezken, 2 hastada tetraparezi mevcuttu. Tüm hastalara lateral mass vidası ile fiksasyon uygulandı. Hiçbir hastada komplikasyon gelişmedi. Bu tekniğin rotasyonel stabiliteyi sağlamasındaki kuvveti, nöral hasar riskinin düşük olması ve az miktarda kemik greft gerektirmesi üstünlükleridir. Vakalarımızda uzun dönem takipte füzyon olmayan hasta izlenmedi. Lateral mass vidası ile posterior servikal stabilizasyon deneyimli ellerde odontoid kırıklarının tedavisinde iyi bir seçenektir.

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Cite This Article

TAŞKAPILIOĞLU, M. Ö., BAŞARAN, E., AKTAŞ, U., DOĞAN, Ş. (2013). C1-2 posterior stabilization at odontoid fractures. Journal of Turkish Spinal Surgery, Cilt: 24 - Sayı: 2, 135–141. https://ajindex.com/articles/214366

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