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Direct transoral manipulation to reduce a displaced odontoid fracture: a technical note
Peleg Ben-Galim1, Charles A Reitman
1Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Background Context:
Irreducible anteriorly displaced odontoid fractures are usually treated with posterior atlantoaxial fusion.
Purpose:
To present an alternative for fracture reduction and anterior stabilization for displaced odontoid fractures.
Study Design:
A technique for reduction of odontoid fractures is reported.
Patient Sample:
Case study of a single patient with an odontoid fracture.
Outcome Measures:
Only fracture reduction and fracture healing were evaluated.
Methods:
After a failed trial of closed reduction with skeletal traction, a patient with an anteriorly displaced odontoid fracture was taken to the operating room for attempted closed reduction and odontoid screw placement.
Results:
Fracture reduction was achieved with routine maneuvers supplemented by posterior translation through direct oropharyngeal pressure with a padded laryngoscope blade.
Conclusions:
Direct transoral reduction of odontoid fractures is safe and feasible and can be used to assist in reduction of anteriorly displaced fractures.
