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[Anterior screw fixation of fractures of the dens axis]
O J Nielsen1, A L Edal, A Kruse
1Odense Universitetshospital, neurokirurgisk afdeling og røntgendiagnostisk afdeling.
Introduction:
The aim of the present study was to evaluate the results of anterior screw fixation in the treatment of odontoid fracture.
Materials And Methods:
The clinical and radiographic records of the first 14 patients treated with anterior screw fixation for odontoid fracture were reviewed retrospectively.
Results:
Satisfying stabilisation of the fracture was achieved in 10 patients (71%). In four patients, two of whom had severe osteoporosis, additional posterior C1/C2 fusion, owing to failure of screw treatment was needed. Two patients developed small occipital bedsores caused by preoperative treatment, but no further complications were observed.
Conclusion:
Although only a few patients were entered in the study, the results justify the use of anterior screw fixation as the treatment of odontoid fracture in selected patients.