Summary
For a satisfactory direct screw fixation of fractures of the odontoid process it is necessary to use a screw of the proper total length and thread length, but such an optimal ready-made screw is not always available. The authors describe a technique of intra-operative screw trimming using a high-speed diamond drill. This adjustment is easily and quickly performed. It enables the screw to act as a compression screw, which facilitates fusion of the fractured surfaces.
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Hasegawa, T., Yamano, K., Hamada, Y. et al. Intra-operative screw trimming in direct screw fixation of the odontoid process fracture — Technical note. Acta neurochir 115, 60–61 (1992). https://doi.org/10.1007/BF01400592
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DOI: https://doi.org/10.1007/BF01400592