Full-endoscopic anterior odontoid screw fixation: A case report and literature review in Viet Nam.

Abstract

Introduction: Type II odontoid fractures of C2 have a high risk of nonunion if treated conservatively. Direct screwing of the odontoid helps preserve the motor function of the C1-C2 joint, but traditional open surgery presents challenges in observing the entry point and carries significant risks. In this context, a novel approach of endoscopic surgery emerges as a potentially optimal choice. Notably, in Vietnam, there have been no prior reports of endoscopic direct odontoid screw fixation for type II odontoid fractures, which makes this case report particularly relevant to the medical community.

Case presentation: We report the case of a 25-year-old man admitted to our hospital following a motorbike accident. The patient was admitted in a conscious state, presenting with neck pain, but no specific focal neurological deficits. Computed tomography revealed a type II odontoid fracture. The patient subsequently underwent endoscopic direct odontoid screw fixation. The patient recovered well post-surgery, with no complications observed.

Clinical discussion: This case report demonstrates the feasibility and advantages of endoscopic direct odontoid screw fixation for acute type II odontoid fractures. This technique offers excellent visualization and reduces soft tissue damage.

Conclusion: The results of this report contribute to affirming the potential of endoscopic surgery as a valuable approach to improving the quality of cervical spine trauma treatment in Vietnam.