Surgical management of a combined fracture of the odontoid process with an atlas posterior arch disruption: A review of four cases - 03/06/09
Summary |
Four cases of operated odontoid process fractures associated with a fracture of the posterior arch of the atlas are presented. Three types of surgery were performed: atlas–axis fusion, occipitocervical fusion, and odontoid process screw fixation. Based on a literature review and our experience, the therapeutic management is discussed according to the type of odontoid fracture and the presence of neurological involvement, with a reminder that wiring is not indicated when C1 posterior arch continuity is compromised.
Le texte complet de cet article est disponible en PDF.Keywords : Cervical spine fracture, Atlas, Odontoid, Cervical spine surgery
Plan
Vol 95 - N° 3
P. 224-228 - mai 2009 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.