OPTIONS FOR SURGICAL TREATMENT OF CHRONIC C2 ODONTOID FRACTURES

Author:

Kuleshov A. A.1,Shkarubo A. N.2,Eskin N. A.1,Vetrile M. S.1,Lisyansky I. N.1,Makarov S. N.1,Ponomarenko G. P.1,Chernov I. V.2

Affiliation:

1. N.N. Priorov National Medical Research Cent er of Traumatology and Orthopaedics

2. N.N. Burdenko National Scientific and Practical Center for Neurosurgery

Abstract

The paper presents a review of three clinical cases of treating patients with chronic fractures of the odontoid process of C2 vertebra using various combinations of surgical techniques. In all cases, complete decompression of the spinal cord and stabilization of the upper cervical segment of the spine were achieved. A decrease in the range of motion in the cervical spine was observed, which did not affect patient satisfaction. A gradual regression of the neurological status and increase in muscle strength were recorded. Comparative analysis of the neurological status was carried out before and after surgical treatment. When assessing the general condition of patients using the index of disability due to pain in the neck (NDI), an improvement in the quality of life was noted. These data show the opportunities and peculiarities of methods for treating patients with chronic C2 odontoid fractures.Type of publication: description of clinical cases. Evidence level: IV.

Publisher

Association of Spine Surgeons

Subject

Anesthesiology and Pain Medicine,Orthopedics and Sports Medicine,Surgery

Reference19 articles.

1. Makarevich S.V., Bobrik P.A., Zaretskii S.V., Babkin A.V., Mazurenko A.N., Satskevich D.G., Pustovoitov K.V. Galo-korrektsiya pri travmakh i zabolevaniyakh sheinogo otdela pozvonochnika u detei i vzroslykh // Travmatologiya i ortopediya Rossii. 2008. № 3(49). S. 94–95. [Makarevich SV, Bobrik PA, Zaretsky SV, Babkin AV, Mazurenko AN, Satskevich DG, Pustovoitov KV. Halo correction for injuries and diseases of the cervical spine in children and adults. Travmatologia i Ortopediya Rossii. 2008;(3):94–95. In Russian].

2. Moiseenko V.A. Biomekhanika verkhnesheinogo otdela pozvonochnika i osobennosti lecheniya bol'nykh s perelomami zubovidnogo otrostka // Vestnik travmatologii i ortopedii. 1996. № 1. S. 18–21. [Moiseenko VA. Biomechanics of the upper cervical spine and features of treatment of patients with fractures of the odontoid process. Vestnik Travmatologii i Ortopedii imeni N.N. Priorova. 1996;(1):18–21. In Russian].

3. Klimov B.C., Shulev Yu.A. Kliniko-epidemiologicheskii analiz ostroi travmy sheinogo otdela pozvonochnika i spinnogo mozga v Tul'skoi oblasti // Neirokhirurgiya. 2008. № 3. S. 68–72. [Klimov VS, Shulev YuA. Clinical and epidemiological analysis of injury of spine and spinal cord in Tula Region. Neyrohirurgiya. 2008;(3):68–72. In Russian].

4. Anderson L. Fractures of odontoid process of the axis. In: Bailey R, Sherk H, Dunn E (eds). The Cervical Spine, Philadelphia: J.B. Lippincott, 1983:206–223.

5. Venzel EC. Spine Surgery: Techniques, Complication Avoidance, and Management. 2nd ed. Elsevier Churchill Livingstone, 2005. 6. Bohler J. Anterior stabilization for acute fractures and non-unions of the dens. J Bone Joint Surg Am. 1982;64:18–27.

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