资源有限机构中肥胖患者II型齿状突严重移位骨折的治疗：前路螺钉骨合成技术的病例报告

Management of Massively Displaced Type II Odontoid Fracture in an Obese Patient in a Resource-Challenged Facility: A Case Report of an Anterior Screw Osteosynthesis Technique.

作者信息

Ajiboye Lukman Olalekan, Okezie Chukwuebuka Kingsley, Abdullahi Muhammad

机构信息

Orthopaedic and Trauma Department, Usmanu Danfodiyio University Teaching Hospital, Sokoto, Nigeria.

Orthopaedic and Trauma Department, Faculty of Clinical Sciences, College of Health Sciences, Usmanu Danfodiyio University, Sokoto, Nigeria.

出版信息

J West Afr Coll Surg. 2025 Oct-Dec;15(4):490-496. doi: 10.4103/jwas.jwas_90_24. Epub 2025 Apr 5.

DOI:10.4103/jwas.jwas_90_24

PMID:40969507

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12443453/

Abstract

The surgical management of a 22-year-old obese patient with a massively displaced type II odontoid fracture through anterior osteosynthesis (using a cannulated titanium screw of size 4.0 mm by 35 mm) in a resource-challenged facility is reported. The fracture was transverse at the waist of the dens with huge anterior-lateral displacement and overlapping. This fracture was unique in term of its displacement and overlapping nature of the fragment from routinely seen cases. The management was also challenged with the patient's obesity, lack of a Mayfield device, and a nonadjustable operating table. The patient underwent the surgery and gradually and satisfactorily improved with full pre-injury functional status.

摘要

报道了一名22岁肥胖患者，在资源有限的医疗机构中，通过前路骨合成术（使用一枚4.0毫米×35毫米的空心钛螺钉）治疗严重移位的II型齿状突骨折。骨折位于齿状突腰部，呈横行，伴有巨大的前外侧移位和重叠。就其移位情况以及骨折碎片的重叠性质而言，该骨折与常规所见病例不同。患者肥胖、缺乏Mayfield装置以及手术台不可调节也给治疗带来了挑战。患者接受了手术，术后逐渐康复，功能状态恢复到伤前水平，效果令人满意。