Triple anterior screw fixation of an acute combination atlas-axis fracture: Case report

Paul J. Apostolides, Nicholas Theodore, Dean G. Karahalios, Volker K.H. Sonntag

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)96-99
Number of pages4
JournalJournal of neurosurgery
Volume87
Issue number1
DOIs
StatePublished - Jul 1997
Externally publishedYes

Keywords

  • Atlas
  • Axis
  • Cervical spine trauma
  • Odontoid fracture
  • Spinal instability

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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