Abodahab Ahmad Mokhtar
Department of Radiology, Sohag University Faculty of Medicine, Sohag, Egypt.
J Trauma Inj. 2023 Dec;36(4):411-415. doi: 10.20408/jti.2023.0039. Epub 2023 Nov 7.
An odontoid process fracture is a serious type of cervical spine injury. This injury is categorized into three types based on the location of the fracture. Severe or even fatal neurological deficits can occur due to associated cord injury, which can result in complete quadriplegia. Computed tomography is the primary diagnostic tool, while magnetic resonance imaging is used to evaluate any associated cord injuries. These injuries can occur either directly from the injury or during transportation to the hospital if mishandled. There are two main treatment approaches: surgical fixation or external nonsurgical fixation, with various types and models of fixation devices available. In this case study, computed tomography follow-up confirmed that external fixation can yield successful results in terms of complete healing, even in cases complicated by other factors that may impede healing, such as pregnancy.
齿突骨折是一种严重的颈椎损伤类型。根据骨折部位，这种损伤可分为三种类型。由于伴有脊髓损伤，可能会出现严重甚至致命的神经功能缺损，进而导致完全性四肢瘫痪。计算机断层扫描是主要的诊断工具，而磁共振成像则用于评估任何相关的脊髓损伤。这些损伤既可能直接由外伤引起，也可能在转运至医院过程中因处理不当而发生。主要有两种治疗方法：手术固定或外部非手术固定，有多种类型和型号的固定装置可供选择。在本病例研究中，计算机断层扫描随访证实，即使在伴有可能妨碍愈合的其他因素（如妊娠）的复杂病例中，外部固定在实现完全愈合方面也能取得成功结果。
