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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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.