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Management of Type II Odontoid Fracture for Osteoporotic Bone Structure: Preliminary Report
Murat Cosar1, A Fahir Ozer, Bahadır Alkan
1Canakkale 18 Mart University, School of Medicine, Department of Neurosurgery, Canakkale, Turkey.
Aim:
Anterior transodontoid screw fixation technique is generally chosen for the management of type II odontoid fractures. The nonunion of type II odontoid fractures is still a major problem especially in elderly and osteoporotic patients. Eleven osteoporotic type II odontoid fracured patients were presented in this article.
Material And Methods:
We have divided 11 patients in two groups as classical and Ozer's technique. We have also compared (radiologically and clinically) the classical anterior transodontoid screw fixation (group II: 6 cases) and Ozer's transodontoid screw fixation technique (group I: 5 cases) retrospectively.
Results:
There was no difference regaring the clinical features of the groups. However, the radiological results showed 100% fusion for Ozer's screw fixation technique and 83% fusion for the classical screw fixation technique.
Conclusion:
In conclusion, we suggest that Ozer's technique may help to increase the fusion capacity for osteoporotic type II odontoid fractures.
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