Direct transoral manipulation to reduce a displaced odontoid fracture: a technical note.

Abstract

Irreducible anteriorly displaced odontoid fractures are usually treated with posterior atlantoaxial fusion. To present an alternative for fracture reduction and anterior stabilization for displaced odontoid fractures. A technique for reduction of odontoid fractures is reported. Case study of a single patient with an odontoid fracture. Only fracture reduction and fracture healing were evaluated. After a failed trial of closed reduction with skeletal traction, a patient with an anteriorly displaced odontoid fracture was taken to the operating room for attempted closed reduction and odontoid screw placement. Fracture reduction was achieved with routine maneuvers supplemented by posterior translation through direct oropharyngeal pressure with a padded laryngoscope blade. Direct transoral reduction of odontoid fractures is safe and feasible and can be used to assist in reduction of anteriorly displaced fractures.