Traumatic Posterolateral C1-C2 Dislocation Complicated with Locked Lateral Mass and Type II Odontoid Fracture—5-Year Follow-up

2018 ◽  
Vol 114 ◽  
pp. 330-334 ◽  
Author(s):  
Zhu Minyu ◽  
Wu Shiyang ◽  
Chandoo Suraj ◽  
Huang Kelun ◽  
Lin Chaowei ◽  
...  
Keyword(s):  
Odontoid Fracture ◽  
Type Ii ◽  
Lateral Mass

Spinal Trauma: a case report

2018 ◽  
Vol 1 (2) ◽  
pp. 16
Author(s):  
Nasrullah Mustamir
Keyword(s):  
Case Report ◽  
Pedicle Screws ◽  
Odontoid Fracture ◽  
Type Ii ◽  
Cervical Spine Trauma ◽  
Lateral Mass ◽  
Fracture Type ◽  
Spine Trauma ◽  
X Ray ◽  
Car Accident

Introduction: The incidences of both car accident and sport accident have been increasing lately in Indonesia. One of the big problems is about the trauma of the spine. Cervical spine trauma is the most dangerous case. Herein we report one case of Odontoid Fracture Type II.Methods: A 24-years-old man had an accident after jumping into a shallow swimming pool. The patient bumped his head into the floor and suffered from tetraparesis. After that, he was getting better step-by-step. Approximately 3 months later, the patient bumped his head again on a branch of a tree and regressed to tetraparesis again. We established odontoid fracture type II diagnosis from plain cervical x-ray. We decided to do a surgery by using pedicle screws at CII, lateral mass at CI, and fusion at CI and CII.Result: After the surgery, the patient’s health improved. Six months after the operation, the patient recovered well.Conclusion: We can do this operation without c-arm, we performed this operation by free-hand and anatomy landmark.

Spinal Trauma: a case report

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Nasrullah Mustamir
Keyword(s):  
Case Report ◽  
Pedicle Screws ◽  
Odontoid Fracture ◽  
Type Ii ◽  
Cervical Spine Trauma ◽  
Lateral Mass ◽  
Fracture Type ◽  
Spine Trauma ◽  
X Ray ◽  
Car Accident

Introduction: The incidences of both car accident and sport accident have been increasing lately in Indonesia. One of the big problems is about the trauma of the spine. Cervical spine trauma is the most dangerous case. Herein we report one case of Odontoid Fracture Type II.Methods: A 24-years-old man had an accident after jumping into a shallow swimming pool. The patient bumped his head into the floor and suffered from tetraparesis. After that, he was getting better step-by-step. Approximately 3 months later, the patient bumped his head again on a branch of a tree and regressed to tetraparesis again. We established odontoid fracture type II diagnosis from plain cervical x-ray. We decided to do a surgery by using pedicle screws at CII, lateral mass at CI, and fusion at CI and CII.Result: After the surgery, the patient’s health improved. Six months after the operation, the patient recovered well.Conclusion: We can do this operation without c-arm, we performed this operation by free-hand and anatomy landmark.

Odontoid Fracture Type II

2018 ◽  
pp. 1-10
Author(s):  
Daniel Tarazona ◽  
Alexander R. Vaccaro
Keyword(s):  
Treatment Algorithm ◽  
Surgical Site Infections ◽  
Fracture Morphology ◽  
Careful Consideration ◽  
Odontoid Fracture ◽  
Type Ii ◽  
Lateral Mass ◽  
Concomitant Injuries ◽  
Cervical Spine Injuries ◽  
Segmental Fixation

Type II odontoid fracture is one of the most common cervical spine injuries, associated with significant morbidity. A thorough history and evaluation of diagnostic imaging is crucial to identify specific patient and injury factors that will assist with the treatment algorithm. The initial decision between operative and nonoperative management is made on the basis of careful consideration of the patient’s age, comorbidities, concomitant injuries, prior functional status, neurological status, and fracture morphology. This chapter describes various operative surgical treatments for odontoid fractures, including segmental fixation consisting of C1 lateral mass with either C2 pedicle or pars screws, anterior odontoid osteosynthesis, and C1–C2 transarticular screw fixation. A posterior approach with segmental fixation using C1–C2 lateral mass with C2 pars screw is reviewed with special attention to help avoid neurovascular complications. Postoperatively, patients should be monitor for signs of retropharyngeal hematoma, dysphagia, aspiration, vocal cord paralysis, and surgical site infections.

scholarly journals Traumatic Atlantoaxial Dislocation with Type II Odontoid Fractures: A Case Report

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Aldhi Tri Budhi ◽  
Nasrullah ◽  
Andi Asadul Islam ◽  
Djoko Widodo ◽  
Willy Adhimarta ◽  
...  
Keyword(s):  
Ct Scanning ◽  
Odontoid Fracture ◽  
Atlantoaxial Dislocation ◽  
The Body ◽  
Neurological Deficits ◽  
Type Ii ◽  
Body Type ◽  
Case Presentation ◽  
Internal Stabilization

BACKGROUND፡ Odontoid fracture frequently ensues after a cervical trauma, and most commonly at the junction between the dens and the body (type II odontoid fracture).CASE PRESENTATION: This report is focused on a 24-years-old male patient with right-sided hemiparesis, resulting from traumatic atlantoaxial dislocation with type II odontoid fracture. Cervical CT-scanning showed a spondylolisthesis of the C1-C2 complex with type II odontoid fracture, and the injury was treated using posterior reduction and internal stabilization. Therefore, hemiparesis was reduced, and during the follow-up period, our patients were disease-free.CONCLUSION: Early diagnosis and the appropriate management of atlantoaxial trauma is a possible approach towards preventing severe neurological deficits.

Persistent First Intersegmental Vertebral Artery in Association With Type II Odontoid Fracture: Surgical Treatment Utilizing a Novel C1 Posterior Arch Screw

Neurosurgery ◽  
2010 ◽  
Vol 67 (1) ◽  
pp. E210-E211 ◽  
Author(s):  
Margaret A. Carmody ◽  
Michael D. Martin ◽  
Christopher E. Wolfla
Keyword(s):  
Vertebral Artery ◽  
Degenerative Spondylolisthesis ◽  
Odontoid Fracture ◽  
Posterior Fixation ◽  
Posterior Arch ◽  
Type Ii ◽  
Lateral Mass ◽  
Congenital Fusion ◽  
Pars Interarticularis ◽  
Lateral Mass Screws

Abstract OBJECTIVE AND IMPORTANCE Posterior cervical stabilization for cervical fractures is common, and numerous techniques for fixation have been described. This case describes the novel usage of C1 laminar screws due to a persistent intersegmental artery and congenital fusion of C2–C3. CLINICAL PRESENTATION A 64-year-old woman presented with loss of consciousness after falling down a flight of stairs. Initial CT scan showed a type II odontoid fracture with significant malalignment, as well as an anomalous congenital fusion of C2–C3 and degenerative spondylolisthesis of C3 to C4. CT angiogram demonstrated bilateral persistent first intersegmental arteries coursing through the C1–C2 neural foramina. INTERVENTION The patient underwent C2 fracture reduction and posterior C1–C4 fusion. C1 posterior arch screws were placed due to the patient's anomalous vertebral artery location. The construct was anchored caudally by C2 pars interarticularis screws and C4 lateral mass screws. The patient experienced an excellent neurologic and radiographic outcome at 12.5 months. CONCLUSION Posterior fixation for fractures of the cervical spine is common; however, the use of C1 posterior arch screws for fractures has not previously been described. The presence of a persistent intersegmental course of the vertebral artery, a rare but reported anomaly, should be regarded as a contraindication to placement of C1 lateral mass screws and necessitates careful consideration of the available surgical options.

Image-guided translumbar type II endoleak repair: A novel approach

2020 ◽  
Vol 4 ◽  
pp. 9
Author(s):  
Salman Mirza ◽  
Shahnawaz Ansari
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Endovascular Aneurysm Repair ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Image Guided ◽  
Novel Approach ◽  
Abdominal Aortic ◽  
Aneurysm Repair

We present a case of a 72-year-old male with an abdominal aortic aneurysm status post-endovascular aneurysm repair (EVAR). Follow-up imaging demonstrated an enlarging type II endoleak and attempts at transarterial coil embolization of the inferior mesenteric artery were unsuccessful. The patient underwent image-guided percutaneous translumbar type II endoleak repair using XperGuide (Philips, Andover, MA USA).

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