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Respiratory failure due to a displaced fracture of the odontoid
1Peninsula Spine Unit, Princess Elizabeth Orthopaedic Centre Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW, UK. kluver_bucy@hotmail.com
Abstract:
Fractures of the odontoid peg are relatively common in elderly people. Often they are minimally displaced and can be treated with a collar. However, a fracture which is displaced significantly may be difficult to manage. We describe the case of an 80-year-old man with a fracture of the odontoid peg which was completely displaced and caused respiratory distress. After initial closed reduction and application of a halo jacket, open and internal fixation was undertaken and relieved his symptoms. It is a safe and effective way to manage this injury.
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