Anterior Odontoid Screw Fixation for the Treatment of Type 2 Odontoid Fracture with a Kyphotic Angulation or an Anterior Down-slope: A Technical Note
Anterior odontoid screw fixation (AOSF) is difficult and challenging to perform in patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. To demonstrate two surgical techniques to resolve kyphotic angulation or difficult fracture direction issues. Anterior odont...
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| Veröffentlicht in: | Neurologia medico-chirurgica 2019, Vol.59(8), pp.321-325 |
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| container_title | Neurologia medico-chirurgica |
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| creator | OH, Young-Gyu LEE, Byung-Jou JEON, Sang-Ryong ROH, Sung Woo RHIM, Seung-Chul PARK, Jin Hoon |
| description | Anterior odontoid screw fixation (AOSF) is difficult and challenging to perform in patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. To demonstrate two surgical techniques to resolve kyphotic angulation or difficult fracture direction issues. Anterior odontoid screw fixation was performed in two patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. This technique can avoid sternal blocking using a percutaneous vertebroplasty puncture needle, and can reduce the kyphotic angle using a Cobb elevator in patients with type 2 odontoid fractures with a kyphotic angulation or an anterior down-sloped fracture. In both the patients, AOSF was successfully performed and a successful clinical outcome was achieved. The screws were well-maintained with reduced fracture segment and well-preserved, corrected kyphotic angles were achieved, as observed on cervical X-ray 6 months postoperatively. Our technique is a safe and effective method for the treatment of type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. |
| doi_str_mv | 10.2176/nmc.tn.2018-0249 |
| format | Article |
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To demonstrate two surgical techniques to resolve kyphotic angulation or difficult fracture direction issues. Anterior odontoid screw fixation was performed in two patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. This technique can avoid sternal blocking using a percutaneous vertebroplasty puncture needle, and can reduce the kyphotic angle using a Cobb elevator in patients with type 2 odontoid fractures with a kyphotic angulation or an anterior down-sloped fracture. In both the patients, AOSF was successfully performed and a successful clinical outcome was achieved. The screws were well-maintained with reduced fracture segment and well-preserved, corrected kyphotic angles were achieved, as observed on cervical X-ray 6 months postoperatively. Our technique is a safe and effective method for the treatment of type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope.</description><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/nmc.tn.2018-0249</identifier><identifier>PMID: 31068547</identifier><language>eng</language><publisher>Japan: The Japan Neurosurgical Society</publisher><subject>Adult ; anterior down-slope ; anterior odontoid screw fixation ; Bone implants ; Bone Screws ; Bone surgery ; Follow-Up Studies ; Fracture Fixation, Internal - instrumentation ; Fracture Fixation, Internal - methods ; Fracture Healing - physiology ; Fractures ; Humans ; Image Processing, Computer-Assisted ; kyphotic angulation ; Male ; Middle Aged ; Odontoid Process - diagnostic imaging ; Odontoid Process - injuries ; Odontoid Process - surgery ; Patients ; Spinal Fractures - diagnostic imaging ; Spinal Fractures - surgery ; Technical Note ; Tomography, X-Ray Computed ; type 2 odontoid fracture</subject><ispartof>Neurologia medico-chirurgica, 2019, Vol.59(8), pp.321-325</ispartof><rights>2019 by The Japan Neurosurgical Society</rights><rights>Copyright Japan Science and Technology Agency 2019</rights><rights>2019 The Japan Neurosurgical Society 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c530t-fc1ac40d4cf9750120f8ccafb21090217db3a1d64484c5484a1199aa5efb2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6694020/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6694020/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1876,4009,27902,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31068547$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OH, Young-Gyu</creatorcontrib><creatorcontrib>LEE, Byung-Jou</creatorcontrib><creatorcontrib>JEON, Sang-Ryong</creatorcontrib><creatorcontrib>ROH, Sung Woo</creatorcontrib><creatorcontrib>RHIM, Seung-Chul</creatorcontrib><creatorcontrib>PARK, Jin Hoon</creatorcontrib><title>Anterior Odontoid Screw Fixation for the Treatment of Type 2 Odontoid Fracture with a Kyphotic Angulation or an Anterior Down-slope: A Technical Note</title><title>Neurologia medico-chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><description>Anterior odontoid screw fixation (AOSF) is difficult and challenging to perform in patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. To demonstrate two surgical techniques to resolve kyphotic angulation or difficult fracture direction issues. Anterior odontoid screw fixation was performed in two patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. This technique can avoid sternal blocking using a percutaneous vertebroplasty puncture needle, and can reduce the kyphotic angle using a Cobb elevator in patients with type 2 odontoid fractures with a kyphotic angulation or an anterior down-sloped fracture. In both the patients, AOSF was successfully performed and a successful clinical outcome was achieved. The screws were well-maintained with reduced fracture segment and well-preserved, corrected kyphotic angles were achieved, as observed on cervical X-ray 6 months postoperatively. Our technique is a safe and effective method for the treatment of type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope.</description><subject>Adult</subject><subject>anterior down-slope</subject><subject>anterior odontoid screw fixation</subject><subject>Bone implants</subject><subject>Bone Screws</subject><subject>Bone surgery</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing - physiology</subject><subject>Fractures</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>kyphotic angulation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Odontoid Process - diagnostic imaging</subject><subject>Odontoid Process - injuries</subject><subject>Odontoid Process - surgery</subject><subject>Patients</subject><subject>Spinal Fractures - diagnostic imaging</subject><subject>Spinal Fractures - surgery</subject><subject>Technical Note</subject><subject>Tomography, X-Ray Computed</subject><subject>type 2 odontoid fracture</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1vEzEQhi0EolHpnROyxHnD2Ov94oAUFQKIih6auzXx2llXG3vxehvyQ_i_OKQs5TJzmGfe-XgJec1gyVlVvnN7tYxuyYHVGXDRPCMLlosmq4E3z8kCRAVZzaC4IFfjaLeQmFrkdfWSXOQMyroQ1YL8Wrmog_WB3rbeRW9beqeCPtC1_YnRekdNqsVO003QGPfaReoN3RwHTfm_nnVAFaeg6cHGjiL9dhw6H62iK7eb-rNQ0kFH53kf_cFlY-8H_Z6u6EarzlmFPf3uo35FXhjsR331mC_J3frT5vpLdnP7-ev16iZTRQ4xM4qhEtAKZZqqAMbB1Eqh2XIGDaQntdscWVuKdLgqUkDGmgax0Akx-SX5cFYdpu1etyrdFrCXQ7B7DEfp0cr_K852cucfZFk2AjgkgbePAsH_mPQY5b2fgksbS86rEljBWJUoOFMq-HEM2swTGMiTkzI5KaOTJyflycnU8ubpZnPDX98SsD4D92PEnZ4BDOnpvf6jWDSyPoWnyjOgOgxSu_w3xWe2hw</recordid><startdate>2019</startdate><enddate>2019</enddate><creator>OH, Young-Gyu</creator><creator>LEE, Byung-Jou</creator><creator>JEON, Sang-Ryong</creator><creator>ROH, Sung Woo</creator><creator>RHIM, Seung-Chul</creator><creator>PARK, Jin Hoon</creator><general>The Japan Neurosurgical Society</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>5PM</scope></search><sort><creationdate>2019</creationdate><title>Anterior Odontoid Screw Fixation for the Treatment of Type 2 Odontoid Fracture with a Kyphotic Angulation or an Anterior Down-slope: A Technical Note</title><author>OH, Young-Gyu ; LEE, Byung-Jou ; JEON, Sang-Ryong ; ROH, Sung Woo ; RHIM, Seung-Chul ; PARK, Jin Hoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c530t-fc1ac40d4cf9750120f8ccafb21090217db3a1d64484c5484a1199aa5efb2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>anterior down-slope</topic><topic>anterior odontoid screw fixation</topic><topic>Bone implants</topic><topic>Bone Screws</topic><topic>Bone surgery</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal - instrumentation</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing - physiology</topic><topic>Fractures</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>kyphotic angulation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Odontoid Process - diagnostic imaging</topic><topic>Odontoid Process - injuries</topic><topic>Odontoid Process - surgery</topic><topic>Patients</topic><topic>Spinal Fractures - diagnostic imaging</topic><topic>Spinal Fractures - surgery</topic><topic>Technical Note</topic><topic>Tomography, X-Ray Computed</topic><topic>type 2 odontoid fracture</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OH, Young-Gyu</creatorcontrib><creatorcontrib>LEE, Byung-Jou</creatorcontrib><creatorcontrib>JEON, Sang-Ryong</creatorcontrib><creatorcontrib>ROH, Sung Woo</creatorcontrib><creatorcontrib>RHIM, Seung-Chul</creatorcontrib><creatorcontrib>PARK, Jin Hoon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OH, Young-Gyu</au><au>LEE, Byung-Jou</au><au>JEON, Sang-Ryong</au><au>ROH, Sung Woo</au><au>RHIM, Seung-Chul</au><au>PARK, Jin Hoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterior Odontoid Screw Fixation for the Treatment of Type 2 Odontoid Fracture with a Kyphotic Angulation or an Anterior Down-slope: A Technical Note</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>2019</date><risdate>2019</risdate><volume>59</volume><issue>8</issue><spage>321</spage><epage>325</epage><pages>321-325</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>Anterior odontoid screw fixation (AOSF) is difficult and challenging to perform in patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. To demonstrate two surgical techniques to resolve kyphotic angulation or difficult fracture direction issues. Anterior odontoid screw fixation was performed in two patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. This technique can avoid sternal blocking using a percutaneous vertebroplasty puncture needle, and can reduce the kyphotic angle using a Cobb elevator in patients with type 2 odontoid fractures with a kyphotic angulation or an anterior down-sloped fracture. In both the patients, AOSF was successfully performed and a successful clinical outcome was achieved. The screws were well-maintained with reduced fracture segment and well-preserved, corrected kyphotic angles were achieved, as observed on cervical X-ray 6 months postoperatively. Our technique is a safe and effective method for the treatment of type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope.</abstract><cop>Japan</cop><pub>The Japan Neurosurgical Society</pub><pmid>31068547</pmid><doi>10.2176/nmc.tn.2018-0249</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | J-STAGE Free; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central |
| subjects | Adult anterior down-slope anterior odontoid screw fixation Bone implants Bone Screws Bone surgery Follow-Up Studies Fracture Fixation, Internal - instrumentation Fracture Fixation, Internal - methods Fracture Healing - physiology Fractures Humans Image Processing, Computer-Assisted kyphotic angulation Male Middle Aged Odontoid Process - diagnostic imaging Odontoid Process - injuries Odontoid Process - surgery Patients Spinal Fractures - diagnostic imaging Spinal Fractures - surgery Technical Note Tomography, X-Ray Computed type 2 odontoid fracture |
| title | Anterior Odontoid Screw Fixation for the Treatment of Type 2 Odontoid Fracture with a Kyphotic Angulation or an Anterior Down-slope: A Technical Note |
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