Aleem Ilyas S, Gussous Yazeed, King Michael, Fogelson Jeremy, Nassr Ahmad, Currier Bradford L
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Department of Orthopaedic Surgery, Ohio State University, Columbus, OH, USA.
J Spine Surg. 2017 Jun;3(2):283-286. doi: 10.21037/jss.2017.05.12.
Fractures of the odontoid are the most common cervical spine injury in the geriatric population. The relationship between odontoid fracture displacement and postural change has not been previously described. We present the first described case of an elderly female patient with thoracic kyphosis and a type II odontoid fracture demonstrating significant fracture displacement with a postural change from sitting to standing. Various radiographic parameters are assessed and discussed in an attempt to characterize and explain this finding. We highlight the importance of regional and global spinal alignment and quantify physiologic odontoid fracture behavior with postural changes in this growing demographic. Upright radiographs in both sitting and standing positions may be considered when concern for odontoid fracture stability is questioned.
齿状突骨折是老年人群中最常见的颈椎损伤。齿状突骨折移位与姿势变化之间的关系此前尚未见描述。我们报告首例老年女性患者，患有胸椎后凸和II型齿状突骨折，该患者从坐位到站立位姿势改变时，骨折移位明显。我们评估并讨论了各种影像学参数，试图对这一发现进行特征描述和解释。我们强调了局部和整体脊柱排列的重要性，并量化了在这一不断增长的人群中姿势变化时齿状突骨折的生理行为。当对齿状突骨折稳定性存在疑虑时，可考虑拍摄坐位和站立位的直立位X线片。
