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KMID : 0359819930220040604
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 4 p.604 ~ p.609
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A Surgical Experience of a Odontoid Type II Fracture by Transoral Approach and Internal Fixation with Screws and Mini-plate
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한정훈
조용준/황장희/박용기/안명수
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Abstract
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With chamnging mechanisms of inujury of injry, heightened clinical awareness, and better diagnostic technology. Odontoid fractures constitute 9~18% of cervical fractures in revent reports. The odontoid type II fracture is the most common axis
fracture
and it is also the most difficult to treat. Type II fractures with greater than 6mm dens dislocation have a higher incidence of nonunion with nonoperative therapy and should be offered early operative reduction with fusion.
Recently we have experiecned a young male patient with odontoid type II fracture. The degree of dens dislocation was 8mm. The fractured odontoid process was removed through transoral-transpharyngeal approach and bone fusion was performed with
iliac
bone. And the inserted bone was fixed with screwas and mini-plate for further stabilization. The operative result was good without any serious complications. The operation technique is detailed.
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KEYWORD
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