Management of Type II Odontoid Fracture for Osteoporotic Bone Structure: Preliminary Report

Turk Neurosurg. 2015;25(2):269-72. doi: 10.5137/1019-5149.JTN.9083-13.1.

Abstract

Aim: Anterior transodontoid screw fixation technique is generally chosen for the management of type II odontoid fractures. The nonunion of type II odontoid fractures is still a major problem especially in elderly and osteoporotic patients. Eleven osteoporotic type II odontoid fracured patients were presented in this article.

Material and methods: We have divided 11 patients in two groups as classical and Ozer's technique. We have also compared (radiologically and clinically) the classical anterior transodontoid screw fixation (group II: 6 cases) and Ozer's transodontoid screw fixation technique (group I: 5 cases) retrospectively.

Results: There was no difference regaring the clinical features of the groups. However, the radiological results showed 100% fusion for Ozer's screw fixation technique and 83% fusion for the classical screw fixation technique.

Conclusion: In conclusion, we suggest that Ozer's technique may help to increase the fusion capacity for osteoporotic type II odontoid fractures.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bone Screws
  • Disease Management*
  • Female
  • Follow-Up Studies
  • Fracture Fixation, Internal / methods
  • Humans
  • Male
  • Middle Aged
  • Odontoid Process / diagnostic imaging
  • Odontoid Process / injuries*
  • Odontoid Process / surgery*
  • Osteoporotic Fractures / diagnostic imaging
  • Osteoporotic Fractures / surgery*
  • Radiography
  • Retrospective Studies
  • Spinal Fractures / diagnostic imaging
  • Spinal Fractures / surgery*