Full-endoscopic assisted surgery using anterior double odontoid screw fixation in type II odontoid fractures: A clinical study of the surgical technique

Q4 Medicine

Trauma Case Reports Pub Date : 2025-02-17 DOI:10.1016/j.tcr.2025.101139

Suthipas Pongmanee , Peem Sarasombath , Anuchit Chaiamporn , Sitthikorn Kaensuk , Korapuk Lerswanichwattana , Wongthawat Liawrungrueang

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引用次数: 0

Abstract

The most common complication of an odontoid fracture type II according to the Anderson and D'Alonzo classification is nonunion. The current standard is to offer surgical treatment. Anterior odontoid screws with minimally invasive surgery can achieve an effective outcome. Full endoscopic assisted spine surgery is an option that provides good visualization for determining the correct the screw entry point. This clinical case study describes the treatment of an acute displaced fracture a 79-year-old male suffered in a motor vehicle accident using the double odontoid screw technique with full endoscopic assisted surgery. The patient had severe neck pain with ASIA grade E. Radiographic study showed a type II fracture. The patient received urgent surgical intervention using the endoscopic assisted double anterior odontoid screw fixation technique. Intraoperatively the fracture was reduced and compressed without complication using double anterior odontoid screws. Post operative radiographic analysis showed the screws were in good position and the patient participated in a rehabilitation program. The patient's symptoms were completely resolved and union of the fracture was complete at the 1-year follow up. The anterior odontoid screw technique is a challenging minimally invasive surgical technique. Full endoscopic assisted surgery is an effective and desirable technique for use with an anterior double odontoid screw. This technique could be a new option for spine surgery involving an odontoid type II fracture.

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全内镜辅助下双齿状突前路螺钉固定治疗II型齿状突骨折的临床研究

根据Anderson和D'Alonzo分类，II型齿状突骨折最常见的并发症是骨不连。目前的标准是提供手术治疗。前齿状突螺钉配合微创手术治疗效果良好。全内窥镜辅助脊柱手术是一种选择，为确定正确的螺钉进入点提供了良好的可视化。本临床病例研究描述了一名79岁男性在机动车事故中使用双齿状突螺钉技术和全内镜辅助手术治疗急性移位性骨折。患者有严重的颈部疼痛，ASIA级e级，影像学检查显示为II型骨折。患者接受紧急手术治疗，采用内镜辅助双前齿状突螺钉固定技术。术中使用双前齿状突螺钉复位和压缩骨折，无并发症。术后放射学分析显示螺钉位置良好，患者参加了康复计划。随访1年，患者症状完全缓解，骨折完全愈合。前齿状突螺钉技术是一项具有挑战性的微创手术技术。全内窥镜辅助手术是一种有效和理想的技术，用于前双齿状突螺钉。这项技术可能成为涉及齿状突II型骨折的脊柱手术的新选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.