Microsurgical Treatment of Odontoid Fractures

  • P. KlimoJr
  • G. Rao
  • R.I. Apfelbaum


Cervical Spine Screw Fixation Odontoid Process Guide Tube Odontoid Fracture 
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  1. 1.
    Aebi M, Etter C, Coscia M (1989) Fractures of the odontoid process. Treatment with anterior screw fixation. Spine 14:1065–1070PubMedGoogle Scholar
  2. 2.
    Agrillo U, Mastronardi L, Puzzilli F (2000) Management of acute odontoid fractures with single-screw anterior fixation. Neurosurgery 47:794PubMedGoogle Scholar
  3. 3.
    Alfieri A (2001) Single-screw fixation for acute type II odontoid fracture. J Neurosurg Sci 45:15–18PubMedGoogle Scholar
  4. 4.
    Althoff B (1979) Fracture of the odontoid process. An experimental and clinical study. Acta Orthop Scand Suppl 177:1–95PubMedGoogle Scholar
  5. 5.
    Anderson LD, D’Alonzo RT (1974) Fractures of the odontoid process of the axis. J Bone Joint Surg Am 56:1663–1674PubMedGoogle Scholar
  6. 6.
    Andersson S, Rodrigues M, Olerud C (2000) Odontoid fractures: High complication rate associated with anterior screw fixation in the elderly. Eur Spine J 9:56–59; discussion 60CrossRefPubMedGoogle Scholar
  7. 7.
    Apfelbaum RI (1992) Anterior screw fixation for odontoid fractures. In: Camins MB, O’Leary PF (eds) Disorders of the cervical spine, 2nd edn. Williams and Wilkins, Baltimore, pp 603–608Google Scholar
  8. 8.
    Apfelbaum RI (1992) Anterior screw fixation of odontoid fractures. In: Rengachary SS, Wilkins RH (eds) Neurosurgical operative atlas, 2nd edn, vol 2. Williams and Wilkins, Baltimore, pp 189–199Google Scholar
  9. 9.
    Apfelbaum RI, Lonser RR, Veres R, Casey A (2000) Direct anterior screw fixation for recent and remote odontoid fractures. J Neurosurg 93:227–236PubMedGoogle Scholar
  10. 10.
    Apuzzo ML, Heiden JS, Weiss MH, Ackerson TT, Harvey JP, Kurze T (1978) Acute fractures of the odontoid process. An analysis of 45 cases. J Neurosurg 48:85–91PubMedGoogle Scholar
  11. 11.
    Berlemann U, Schwarzenbach O (1997) Dens fractures in the elderly. Results of anterior screw fixation in 19 elderly patients. Acta Orthop Scand 68:319–324PubMedGoogle Scholar
  12. 12.
    Blockey N, Purser D (1956) Fractures of the odontoid process of the axis. J Bone Joint Surg Br 38:794–817PubMedGoogle Scholar
  13. 13.
    Bohler J (1982) Anterior stabilization for acute fractures and non-unions of the dens. J Bone Joint Surg Am 64:18–27PubMedGoogle Scholar
  14. 14.
    Börm W, Kast E, Richter HP, Mohr K (2003) Anterior screw fixation in type II odontoid fractures: is there a difference in outcome between age groups? Neurosurgery 52:1089–1092; discussion 1092–1094PubMedGoogle Scholar
  15. 15.
    Borne GM, Bedou GL, Pinaudeau M, Cristino G, Hussein A (1988) Odontoid process fracture osteosynthesis with a direct screw fixation technique in nine consecutive cases. J Neurosurg 68:223–226PubMedGoogle Scholar
  16. 16.
    Brooks AL, Jenkins EB (1978) Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg Am 60:279–284PubMedGoogle Scholar
  17. 17.
    Chan R, Schweigel J, Thompson G (1983) Halo-thoracic brace immobilization in 188 patients with acute cervical spine injuries. J Neurosurg 58:508–515PubMedGoogle Scholar
  18. 18.
    Clark CR, White AA 3rd (1985) Fractures of the dens. A multicenter study. J Bone Joint Surg Am 67:1340–1348PubMedGoogle Scholar
  19. 19.
    Cooper P, Maravilla K, Sklar F, Moody S, Clark W (1979) Halo immobilization of cervical spine fractures. J Neurosurg 50:603–610PubMedGoogle Scholar
  20. 20.
    Crockard HA, Heilman AE, Stevens JM (1993) Progressive myelopathy secondary to odontoid fractures: clinical, radiological, and surgical features. J Neurosurg 78:579–586PubMedGoogle Scholar
  21. 21.
    Dailey AT, Hart DJ, Apfelbaum RI (2003) Anterior fixation of odontoid fractures in the elderly. Presented at the Richard Lende Winter Neurosurgery Conference, Snowbird, Utah, 31 January–6 February 2003Google Scholar
  22. 22.
    Dickman CA, Sonntag VK (1998) Posterior C1–C2 transarticular screw fixation for atlantoaxial arthrodesis. Neurosurgery 43:275–280; discussion 280–281PubMedGoogle Scholar
  23. 23.
    Dickman CA, Sonntag VK, Papadopoulos SM, Hadley MN (1991) The interspinous method of posterior atlantoaxial arthrodesis. J Neurosurg 74:190–198PubMedGoogle Scholar
  24. 24.
    Dickson H, Engel S, Blum P, Jones RF (1984) Odontoid fractures, systemic disease and conservative care. Aust N Z J Surg 54:243–247PubMedGoogle Scholar
  25. 25.
    Dunn M, Seljeskog E (1986) Experience in the management of odontoid process injuries: an analysis of 128 cases. Neurosurgery 18:306–310PubMedGoogle Scholar
  26. 26.
    Ekong CE, Schwartz ML, Tator CH, Rowed DW, Edmonds VE (1981) Odontoid fracture: management with early mobilization using the halo device. Neurosurgery 9:631–637PubMedGoogle Scholar
  27. 27.
    ElSaghir H, Böhm H (2000) Anderson type II fracture of the odontoid process: results of anterior screw fixation. J Spinal Disord 13:527–530; discussion 531PubMedGoogle Scholar
  28. 28.
    Esses SI, Bednar DA (1991) Screw fixation of odontoid fractures and nonunions. Spine 16:S483–S485PubMedGoogle Scholar
  29. 29.
    Fielding J, Cochran G, Lawsing J, Mabie KN (1974) Tears of the transverse ligament of the atlas: a clinical and biomechanical study. J Bone Joint Surg Am 56:1683–1691PubMedGoogle Scholar
  30. 30.
    Fujii E, Kobayashi K, Hirabayashi K (1988) Treatment in fractures of the odontoid process. Spine 13:604–609PubMedGoogle Scholar
  31. 31.
    Gallie W (1939) Fractures and dislocation of the cervical spine. Am J Surg 46:495–499CrossRefGoogle Scholar
  32. 32.
    Geisler FH, Cheng C, Poka A, Brumback RJ (1989) Anterior screw fixation of posteriorly displaced type II odontoid fractures. Neurosurgery 25:30–37; discussion 37–38PubMedGoogle Scholar
  33. 33.
    Grob D, Jeanneret B, Aebi M, Markwalder TM (1991) Atlanto-axial fusion with transarticular screw fixation. J Bone Joint Surg Br 73:972–976PubMedGoogle Scholar
  34. 34.
    Hadley MN, Browner C, Sonntag VK (1985) Axis fractures: a comprehensive review of management and treatment in 107 cases. Neurosurgery 17:281–290PubMedGoogle Scholar
  35. 35.
    Hadley MN, Browner CM, Liu SS, Sonntag VK (1988) New subtype of acute odontoid fractures (type IIa). Neurosurgery 22:67–71PubMedGoogle Scholar
  36. 36.
    Harrop JS, Przybylski GJ, Vaccaro AR, Yalamanchili K (2000) Efficacy of anterior odontoid screw fixation in elderly patients with type II odontoid fractures. Neurosurg Focus 8: Article 7Google Scholar
  37. 37.
    Henry AD, Bohly J, Grosse A (1999) Fixation of odontoid fractures by an anterior screw. J Bone Joint Surg Br 81: 472–477CrossRefPubMedGoogle Scholar
  38. 38.
    Hentzer L, Schalimtzek M (1971) Fractures and subluxations of the atlas and axis. A follow-up study of 20 patients. Acta Orthop Scand 42:251–258PubMedGoogle Scholar
  39. 39.
    Husby J, Sorensen KH (1974) Fracture of the odontoid process of the axis. Acta Orthop Scand 45:182–192PubMedGoogle Scholar
  40. 40.
    Jeanneret B, Magerl F (1992) Primary posterior fusion C1/2 in odontoid fractures: indications, technique, and results of transarticular screw fixation. J Spinal Disord 5:464–475PubMedGoogle Scholar
  41. 41.
    Jenkins JD, Coric D, Branch CL Jr (1998) A clinical comparison of one-and two-screw odontoid fixation. J Neurosurg 89:366–370PubMedGoogle Scholar
  42. 42.
    Julien TD, Frankel B, Traynelis VC, Ryken TC (2000) Evidence-based analysis odontoid fracture management. Neurosurg Focus 8 (article 1):1–6Google Scholar
  43. 43.
    Lennarson PJ, Mostafavi H, Traynelis VC, Walters BC (2000) Management of type II dens fractures: a case-control study. Spine 25:1234–1237CrossRefPubMedGoogle Scholar
  44. 44.
    Lesoin F, Autricque A, Franz K, Villette L, Jomin M (1987) Transcervical approach and screw fixation for upper cervical spine pathology. Surg Neurol 27:459–465PubMedGoogle Scholar
  45. 45.
    Lind B, Nordwall A, Sihlbom H (1987) Odontoid fractures treated with halo-vest. Spine 12:173–177PubMedGoogle Scholar
  46. 46.
    Maiman DJ, Larson SJ (1982) Management of odontoid fractures. Neurosurgery 11:471–476PubMedGoogle Scholar
  47. 47.
    Marcotte P, Dickman CA, Sonntag VK, Karahalios DG, Drabier J (1993) Posterior atlantoaxial facet screw fixation. J Neurosurg 79:234–237PubMedGoogle Scholar
  48. 48.
    McBride AD, Mukherjee DP, Kruse RN, Albright JA (1995) Anterior screw fixation of type II odontoid fractures. A biomechanical study. Spine 20:1855–1859; discussion 1859–1860PubMedGoogle Scholar
  49. 49.
    McGraw R, Rusch R (1973) Atlanto-axial arthrodesis. J Bone Joint Surg Br 55:482–489PubMedGoogle Scholar
  50. 50.
    Morandi X, Hanna A, Hamlat A, Brassier G (1999) Anterior screw fixation of odontoid fractures. Surg Neurol 51: 236–240PubMedGoogle Scholar
  51. 51.
    Mouradian W, Fietti V, Cochran G (1978) Fractures of the odontoid: a laboratory and clinical study of mechanisms. Orthop Clin North Am 9:985–1001PubMedGoogle Scholar
  52. 52.
    Nakanishi T (1980) Internal fixation of the odontoid fracture. Cent Jpn J Orthop Traumatic Surg 23:399–406Google Scholar
  53. 53.
    Paradis GR, Janes JM (1973) Posttraumatic atlantoaxial instability: the fate of the odontoid process fracture in 46 cases. J Trauma 13:359–367PubMedGoogle Scholar
  54. 54.
    Pepin JW, Bourne RB, Hawkins RJ (1985) Odontoid fractures, with special reference to the elderly patient. Clin Orthop: 178–183Google Scholar
  55. 55.
    Ryan M, Taylor T (1982) Odontoid fractures. J Bone Joint Surg Br 64:416–421PubMedGoogle Scholar
  56. 56.
    Schaffler MB, Alson MD, Heller JG, Garfin SR (1992) Morphology of the dens. A quantitative study. Spine 17:738–743PubMedGoogle Scholar
  57. 57.
    Schatzker J, Rorabeck CH, Waddell JP (1971) Fractures of the dens (odontoid process). An analysis of thirty-seven cases. J Bone Joint Surg Br 53:392–405PubMedGoogle Scholar
  58. 58.
    Sears W, Fazl M (1990) Prediction of stability of cervical spine fracture managed in the halo vest and indications for surgical intervention. J Neurosurg 72:426–432PubMedGoogle Scholar
  59. 59.
    Spence KF, Decker S, Sell KW (1970) Bursting atlantal fracture associated with rupture of the transverse ligament. J Bone Joint Surg Am 52:543–549PubMedGoogle Scholar
  60. 60.
    Stillerman CB, Wilson JA (1993) Atlanto-axial stabilization with posterior transarticular screw fixation: technical description and report of 22 cases. Neurosurgery 32:948–954; discussion 954PubMedGoogle Scholar
  61. 61.
    Subach BR, Morone MA, Haid RW Jr, McLaughlin MR, Rodts GR, Comey CH (1999) Management of acute odontoid fractures with single-screw anterior fixation. Neurosurgery 45:812–819; discussion 819–820CrossRefPubMedGoogle Scholar
  62. 62.
    Wang GJ, Mabie KN, Whitehill R, Stamp WG (1984) The nonsurgical management of odontoid fractures in adults. Spine 9:229–230PubMedGoogle Scholar
  63. 63.
    White A, Panjabi M (1990) Clinical biomechanics of the spine, 2nd edn. Lippincott, PhiladelphiaGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2006

Authors and Affiliations

  • P. KlimoJr
  • G. Rao
  • R.I. Apfelbaum

There are no affiliations available

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