Khatavi Anandkumar, Dhillon Charanjit Singh, Chhasatia Nilay, Pophale Chetan Shashikant, Medagam Narendra Reddy
Department of Spine Surgery, MIOT Hospitals, Chennai, Tamil Nadu, India.
J Orthop Case Rep. 2020 Aug-Sep;10(5):20-23. doi: 10.13107/jocr.2020.v10.i05.1820.
While odontoid fractures frequently lead to non-union in elderly population, they are relatively rare in the younger age group. We present our management of a rare case of neglected odontoid fracture in an ankylosed spine of a young female.
A 28-year-old female presented to our emergency department with neck deformity after a history of fall 1 year back. She presented with clinical symptoms and signs of cervical myelopathy. Diagnostic imaging confirmed ankylosis of the cervical spine with a non-union of the odontoid fracture with atlantoaxial instability and kyphosis. She was treated with anterior release of the odontoid through a standard Smith-Robinson approach, anatomical reduction, and posterior occipitocervical stabilization and fusion.
Non-union with a malpsitioned odontoid fracture in an ankylosed spine can be addressed by an anterior release and reduction with posterior fusion with good functional outcome.
虽然齿状突骨折在老年人群中常导致不愈合，但在年轻人群中相对少见。我们报告了一例年轻女性强直性脊柱炎患者中被忽视的罕见齿状突骨折的治疗情况。
一名28岁女性因1年前跌倒后出现颈部畸形前来我院急诊科就诊。她表现出颈椎脊髓病的临床症状和体征。诊断性影像学检查证实颈椎强直，齿状突骨折不愈合，伴有寰枢椎不稳和后凸畸形。她接受了通过标准Smith-Robinson入路进行的齿状突前路松解、解剖复位以及后路枕颈稳定融合术。
强直性脊柱炎中齿状突骨折不愈合且位置不佳可通过前路松解复位及后路融合来处理，功能预后良好。
