Yilmaz Merih C, Taşkın Önder, Yilmaz Salih
Neurosurgery, VM Medical Park Hospital, Samsun, TUR.
Neurosurgery, Amasya Kolmed Hospital, Amasya, TUR.
Cureus. 2024 Oct 5;16(10):e70902. doi: 10.7759/cureus.70902. eCollection 2024 Oct.
Type II odontoid fractures are recognized as unstable fractures, often necessitating surgical intervention. The anterior transodontoid screw technique emerges as a commonly employed surgical approach in such cases, with factors like age, osteoporosis, and the extent of fracture line displacement influencing surgical success. We report this case with the aim of highlighting the postoperative outcomes of a patient with a Type II odontoid fracture, focusing on the impact of an intraoperative complication resulting in an increased distance between the fracture lines. Our report sheds light on the management challenges posed by Type II odontoid fractures, particularly when complicated by intraoperative factors affecting fracture line alignment. This finding suggests that, in patients with favorable age and bone quality, monitoring rather than revision surgery might be appropriate.
Ⅱ型齿状突骨折被认为是不稳定骨折，通常需要手术干预。经齿状突前路螺钉技术是此类病例中常用的手术方法，年龄、骨质疏松症和骨折线移位程度等因素会影响手术成功率。我们报告该病例的目的是突出Ⅱ型齿状突骨折患者的术后结果，重点关注术中并发症导致骨折线之间距离增加的影响。我们的报告揭示了Ⅱ型齿状突骨折带来的管理挑战，特别是当受到影响骨折线对齐的术中因素影响时。这一发现表明，对于年龄和骨质良好的患者，监测而非翻修手术可能是合适的。
