scholarly journals Atlantoaxial Joint Interlocking Following Type II Odontoid Fracture Associated with Posterolateral Atlantoaxial Dislocation: a Case Report and Review of Published Reports

2016 ◽  
Vol 8 (3) ◽  
pp. 405-410 ◽  
Author(s):  
Deng-wei He ◽  
Wen-jun Huang ◽  
Xiao-yong Sheng ◽  
Li-jun Wu ◽  
Shun-wu Fan

2016 ◽  
Vol 96 ◽  
pp. 614.e11-614.e14 ◽  
Author(s):  
Guoyun Bu ◽  
Feng Shuang ◽  
Gang Liu ◽  
Ye Wu ◽  
Shuxun Hou ◽  
...  


2019 ◽  
Vol 12 (02) ◽  
pp. 151-154
Author(s):  
William Wiryawan ◽  
Otman Siregar ◽  
Pranajaya Dharma Kadar ◽  
Heru Rahmadhany ◽  
Benny


10.14444/6010 ◽  
2019 ◽  
Vol 13 (1) ◽  
pp. 79-83 ◽  
Author(s):  
ARIF MUSA ◽  
SAIF ALDEEN FARHAN ◽  
YU-PO LEE ◽  
BRITTANY URIBE ◽  
P. DOUGLAS KIESTER




2012 ◽  
Vol 98 (5) ◽  
pp. 613-617 ◽  
Author(s):  
P.E. Moreau ◽  
V. Nguyen ◽  
A. Atallah ◽  
G. Kassab ◽  
M.W. Thiong’o ◽  
...  


2016 ◽  
Vol 7 (4) ◽  
pp. 53 ◽  
Author(s):  
MohammedF Shamji ◽  
Naif Alotaibi ◽  
Aisha Ghare ◽  
MichaelG Fehlings


2017 ◽  
Vol 11 (1) ◽  
pp. 15-23
Author(s):  
Roy T. Daniel ◽  
Mir M. Hussain ◽  
Noelle Klocke ◽  
Soumya S. Yandamuri ◽  
Lukas Bobinski ◽  
...  

<sec><title>Study Design</title><p>Researchers created a proper type II dens fracture (DF) and quantified a novel current posterior fixation technique with spacers at C1–C2. A clinical case study supplements this biomechanical analysis.</p></sec><sec><title>Purpose</title><p>Researchers explored their hypothesis that spacers combined with posterior instrumentation (PI) reduce range of motion significantly, possibly leading to better fusion outcomes.</p></sec><sec><title>Overview of Literature</title><p>Literature shows that the atlantoaxial joint is unique in allowing segmental rotary motion, enabling head turning. With no intervertebral discs at these joints, multiple ligaments bind the axis to the skull base and to the atlas; an intact odontoid (dens) enhances stability. The most common traumatic injury at these strong ligaments is a type II odontoid fracture.</p></sec><sec><title>Methods</title><p>Each of seven specimens (C0–C3) was tested on a custom-built six-degrees-of-freedom spine simulator with constructs of intact state, type II DF, C1–C2 PI, PI with joint capsulotomy (PIJC), PI with spacers (PIS) at C1–C2, and spacers alone (SA). A bending moment of 2.0 Nm (1.5°/sec) was applied in flexion-extension (FE), lateral bending (LB), and axial rotation (AR). One-way analysis of variance with repeated measures was performed.</p></sec><sec><title>Results</title><p>DF increased motion to 320%, 429%, and 120% versus intact (FE, LB, and AR, respectively). PI significantly reduced motion to 41%, 21%, and 8%. PIJC showed negligible changes from PI. PIS reduced motion to 16%, 14%, and 3%. SA decreased motion to 64%, 24%, and 54%. Reduced motion facilitated solid fusion in an 89-year-old female patient within 1 year.</p></sec><sec><title>Conclusions</title><p>Type II odontoid fractures can lead to acute or chronic instability. Current fixation techniques use C1–C2 PI or an anterior dens screw. Addition of spacers alongside PI led to increased biomechanical rigidity over intact motion and may offer an alternative to established surgical fixation techniques.</p></sec>



Sign in / Sign up

Export Citation Format

Share Document