Triple anterior screw fixation of an acute combination atlas-axis fracture. Case report.
case_report · Level V
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- Record sourced from PubMed, PMID 9202272.
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Abstract
The authors report the successful treatment of an acute combination atlas-axis fracture in an 85-year-old man using anterior odontoid and C1-2 transarticular facet screw fixation and a Philadelphia collar. Treatment with halo brace immobilization failed, and the patient experienced recurrent episodes of oxygen desaturation when placed partially prone for chest physiotherapy. If a posterior approach is not feasible, an anterior odontoid and C1-2 transarticular facet screw fixation can be considered as a salvage procedure for patients with acute combination atlas-axis fractures.
Medical subject headings
- Atlanto-Axial Joint
- Bone Screws
- Spinal Fractures
Anatomy
- cervical spine