Spine · 2004
Accident-induced late complaint of odontoid nonunion.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Boldin Christian, Grechenig Wolfgang, Fankhauser Florian
Аннотация
STUDY DESIGN: A case of accident-induced late complaint of odontoid nonunion is reported.
OBJECTIVES: To report a rare case of accident-induced late complaint of odontoid nonunion and to discuss operative techniques of stabilization.
SUMMARY OF BACKGROUND DATA: The literature is reviewed. METHODS.: A 60-year-old man sustained a neck injury with incomplete transverse lesion after a traffic accident. A loosening of odontoid nonunion with displacement 40 years after primary trauma was noted.
RESULTS: Surgical treatment of the odontoid nonunion was undertaken to perform anterior screw fixation and additional posterior C1-C2 arthrodesis according to Gallie or Brooks. The patient wore a cervical brace for 6 weeks and underwent physiotherapy. Neurologic deficit decreased after surgery.
CONCLUSION: This is the first reported case of accident-induced loosening of odontoid nonunion. Anterior screw fixation and posterior C1-C2 arthrodesis achieved stable fixation.
OBJECTIVES: To report a rare case of accident-induced late complaint of odontoid nonunion and to discuss operative techniques of stabilization.
SUMMARY OF BACKGROUND DATA: The literature is reviewed. METHODS.: A 60-year-old man sustained a neck injury with incomplete transverse lesion after a traffic accident. A loosening of odontoid nonunion with displacement 40 years after primary trauma was noted.
RESULTS: Surgical treatment of the odontoid nonunion was undertaken to perform anterior screw fixation and additional posterior C1-C2 arthrodesis according to Gallie or Brooks. The patient wore a cervical brace for 6 weeks and underwent physiotherapy. Neurologic deficit decreased after surgery.
CONCLUSION: This is the first reported case of accident-induced loosening of odontoid nonunion. Anterior screw fixation and posterior C1-C2 arthrodesis achieved stable fixation.