| Experience in surgical treatment of typeⅡodontoid fractures:A report of two cases and review of the literature |
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| 引用本文： | Sen Yang,Yi-Jie Liu,Wei-Min Jiang. Experience in surgical treatment of typeⅡodontoid fractures:A report of two cases and review of the literature[J]. 中华创伤杂志(英文版), 2021, 24(1): 57-62. DOI: 10.1016/j.cjtee.2019.10.003 |
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| 作者姓名： | Sen Yang Yi-Jie Liu Wei-Min Jiang |
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| 作者单位： | Department of Orthopaedic Surgery |
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| 摘 要： | Two cases of typeⅡodontoid fractures were reported to share our experience in surgery treatment of such cases.A 33-year-old woman with comminuted typeⅡodontoid fracture and a 42-year-old man with fracture end hardened typeⅡodontoid fracture received surgical treatment in our hospital.Though imaging examination suggested that these two patients were suitable for anterior screw fixation,we encountered difficulties during the operation.The two patients eventually underwent posterior C1–C2 fusion surgery and recovered well.According to the experience of these two cases,we found that the fracture line angle and the degree of comminution are two important factors affecting surgical decision-making.Although anterior screw fixation is the ideal choice for typeⅡodontoid fractures with anterior superior to posterior inferior fracture line,it may not be the best choice for comminuted or fracture end hardened typeⅡodontoid fractures.
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| 关 键 词： | Bone screws Fracture fixation Odontoid fracture |
| 收稿时间： | 2019-04-26 |
Experience in surgical treatment of type II odontoid fractures: A report of two cases and review of the literature |
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| Sen Yang,Yi-Jie Liu,Wei-Min Jiang. Experience in surgical treatment of type II odontoid fractures: A report of two cases and review of the literature[J]. Chinese journal of traumatology, 2021, 24(1): 57-62. DOI: 10.1016/j.cjtee.2019.10.003 |
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| Authors: | Sen Yang Yi-Jie Liu Wei-Min Jiang |
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| Affiliation: | Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, 215006, China |
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| Abstract: | Two cases of type II odontoid fractures were reported to share our experience in surgery treatment of such cases. A 33-year-old woman with comminuted type II odontoid fracture and a 42-year-old man with fracture end hardened type II odontoid fracture received surgical treatment in our hospital. Though imaging examination suggested that these two patients were suitable for anterior screw fixation, we encountered difficulties during the operation. The two patients eventually underwent posterior C1-C2 fusion surgery and recovered well. According to the experience of these two cases, we found that the fracture line angle and the degree of comminution are two important factors affecting surgical decisionmaking. Although anterior screw fixation is the ideal choice for type II odontoid fractures with anterior superior to posterior inferior fracture line, it may not be the best choice for comminuted or fracture end hardened type II odontoid fractures. |
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| Keywords: | Bone screwsFracture fixationOdontoid fracture |
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