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Management of Type II Odontoid Fracture for Osteoporotic Bone Structure: Preliminary Report.

Research paper by Murat M Cosar, A Fahir AF Ozer, Bahadır B Alkan, Mustafa M Guven, Tarık T Akman, Adem Bozkurt AB Aras, Davut D Ceylan, Mehmet M Tokmak

Indexed on: 28 May '15Published on: 28 May '15Published in: Turkish neurosurgery



Abstract

Anterior transodontoid screw fixation technique is generally chosen for the management of type II odontoid fractures. The nonunion of type II odontoid fractures is still a major problem especially in elderly and osteoporotic patients. Eleven osteoporotic type II odontoid fracured patients were presented in this article.We have divided 11 patients in two groups as classical and Ozer's technique. We have also compared (radiologically and clinically) the classical anterior transodontoid screw fixation (group II: 6 cases) and Ozer's transodontoid screw fixation technique (group I: 5 cases) retrospectively.There was no difference regaring the clinical features of the groups. However, the radiological results showed 100% fusion for Ozer's screw fixation technique and 83% fusion for the classical screw fixation technique.In conclusion, we suggest that Ozer's technique may help to increase the fusion capacity for osteoporotic type II odontoid fractures.