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 language | English (US) |
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Pages (from-to) | 96-99 |
Number of pages | 4 |
Journal | Journal of neurosurgery |
Volume | 87 |
Issue number | 1 |
DOIs | |
State | Published - Jul 1997 |
Externally published | Yes |
Keywords
- Atlas
- Axis
- Cervical spine trauma
- Odontoid fracture
- Spinal instability
ASJC Scopus subject areas
- Surgery
- Clinical Neurology