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KMID : 0374019940170020161
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Ewha Medical Journal
1994 Volume.17 No. 2 p.161 ~ p.166
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Odontoid Process Fracture Treated by Anterior Odontoid Screw Fixation
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Abstract
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While odontoid fractures are common injuries, disagreement exists regarding treatment. Because of the high risk of nonunion in type II odontoid fractures, surgical fusion should be considered in the initial treatment of odontoid fractures.
Surgical fusion of odontoid fractures has usually been carried out by posterior C1-2 arthrodesis rather than fracture fixation. The former approach has been associated with significant mortality and morbidity. In addition, it results in a
decreased
range of motion, particularly lateral rotation and requires postoperative external immobilization. Recently several authors aors have advocate anterior screw fixation of the fracture as an alternative to posterior cervical fusion.
This paper presents a discussion of different fusion methods and a limmited experience of screw fixation method.
Direct anterior odontoid screw fixation can be used for the successful treatment of selected odontoin fractures and nonunions.
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KEYWORD
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