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Transoral reduction of irreducible posteriorly displaced odontoid fracture

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Abstract

A case of type II odontoid fracture with irreducible posterior dislocation is presented. Cervical traction was employed but reduction could not be achieved with up to 15 kg of traction. The patient was treated with intraoperative transoral open reduction combined with anterior–posterior fixation. Rigid fixation and bone union were obtained without any complication in the 12-month follow-up. The patient has restricted C-spine rotation but no neck pain with movement. Transoral open reduction may be considered in patients with irreducible posteriorly displaced odontoid fracture.

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Conflict of interest

None of the authors has any potential conflict of interest.

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Authors and Affiliations

  1. Department of Spinal Surgery, Affiliated Hospital, Medical College of Qingdao University, Jiangsu Road 16, Qingdao, 266003, China

    Ting Wang

  2. Department of Orthopaedics, Sixth People’s Hospital (Affiliated to Shanghai Jiaotong University), Yishan Road 600, Shanghai, 200233, China

    Bingfang Zeng & Jianguang Xu

Authors
  1. Ting Wang
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  2. Bingfang Zeng
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  3. Jianguang Xu
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Correspondence to Jianguang Xu.

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Wang, T., Zeng, B. & Xu, J. Transoral reduction of irreducible posteriorly displaced odontoid fracture. Eur Spine J 20 (Suppl 2), 227–230 (2011). https://doi.org/10.1007/s00586-010-1596-2

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  • DOI: https://doi.org/10.1007/s00586-010-1596-2

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