Abstract
Four cases of operated odontoid process fractures associated with a fracture of the posterior arch of the atlas are presented. Three types of surgery were performed: atlas-axis fusion, occipitocervical fusion, and odontoid process screw fixation. Based on a literature review and our experience, the therapeutic management is discussed according to the type of odontoid fracture and the presence of neurological involvement, with a reminder that wiring is not indicated when C1 posterior arch continuity is compromised.
MeSH terms
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Accidental Falls
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Accidents, Traffic
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Aged
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Aged, 80 and over
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Arthrodesis / adverse effects
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Arthrodesis / methods
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Atlanto-Axial Joint / injuries
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Atlanto-Axial Joint / surgery
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Bone Screws
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Cervical Atlas / diagnostic imaging
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Cervical Atlas / injuries*
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Female
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Follow-Up Studies
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Fracture Fixation, Internal / adverse effects
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Fracture Fixation, Internal / methods*
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Humans
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Male
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Multiple Trauma / diagnostic imaging
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Multiple Trauma / surgery
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Odontoid Process / diagnostic imaging
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Odontoid Process / injuries*
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Postoperative Complications / diagnosis
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Postoperative Complications / mortality
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Radiography
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Risk Assessment
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Sampling Studies
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Spinal Fractures / diagnostic imaging
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Spinal Fractures / mortality
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Spinal Fractures / surgery*
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Spinal Fusion / adverse effects
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Spinal Fusion / methods
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Survival Rate
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Time Factors
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Young Adult