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"Odontoid fracture"

Original Article

CSRS Special Issue

Measurement of Deformity at the Craniovertebral Junction: Correlation of Triangular Area and Myelopathy
Chih-Chang Chang, Jau-Ching Wu, Chin-Chu Ko, Hsuan-Kan Chang, Yi-Hsuan Kuo, Chao-Hung Kuo, Tsung-Hsi Tu, Wen-Cheng Huang
Neurospine 2022;19(4):889-895.   Published online December 31, 2022
DOI: https://doi.org/10.14245/ns.2244786.393

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Measurement of Deformity at the Craniovertebral Junction: Correlation of Triangular Area and Myelopathy
Neurospine. 2022;19(4):889-895.   Published online December 31, 2022
DOI: https://doi.org/10.14245/ns.2244786.393
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Measurement of Deformity at the Craniovertebral Junction: Correlation of Triangular Area and Myelopathy
Neurospine. 2022;19(4):889-895.   Published online December 31, 2022
DOI: https://doi.org/10.14245/ns.2244786.393
Close
Objective
Diseases of the craniovertebral junction (CVJ) are commonly associated with deformity, malalignment, and subsequent myelopathy. The misaligned CVJ might cause compression of neuronal tissues and subsequently clinical symptoms. The triangular area (TA), measured by magnetic resonance imaging/images (MRI/s), is a novel measurement for quantification of the severity of compression to the brain stem. This study aimed to assess the normal and pathological values of TA by a comparison of patients with CVJ disease to age- and sex-matched controls. Moreover, postoperative TAs were correlated with outcomes.
Methods
Consecutive patients who underwent surgery for CVJ disease were included for comparison to an age- and sex-matched cohort of normal CVJ persons as controls. The demographics, perioperative information, and pre- and postoperative 2-year cervical MRIs were collected for analysis. Cervical TAs were measured and compared.
Results
A total of 201 patients, all of whom had pre- or postoperative MRI, were analyzed. The TA of the CVJ deformity group was larger than the healthy control group (1.62 ± 0.57 cm2 vs. 1.01 ± 0.18 cm2, p < 0.001). Moreover, patients who had combined anterior odontoidectomy and posterior laminectomy with fixation had the greatest reduction in the TA (1.18 ± 0.58 cm2).
Conclusion
In CVJ deformity, the measurement of the cervical TA could indicate the severity of brain stem compression. After surgery, the TA had a varying degree of improvement, which could represent the efficacy of surgery.

Citations

Citations to this article as recorded by  Crossref logo
  • 3D printing enabled biomechanical evaluation of a novel expandable wedge spacer for atlantoaxial reduction
    Chih-Chang Chang, Shao-Fu Huang, Rong-Chen Lin, Chun-Li Lin
    3D Printing in Medicine.2026;[Epub]     CrossRef
  • Prognostic Factors in Craniocervical Realignment for Craniovertebral Junction Kyphosis With Negative Cervical Imbalance: A Comprehensive Study
    Dong Hun Kim, Jae Taek Hong, Jin Young Kim, Kang Bin Koo, Dae Hee Lee, Jung Woo Hur, Ho Jin Lee, Il Sup Kim
    Neurospine.2025; 22(3): 725.     CrossRef
  • Evaluation of Cervicomedullary Compression Around the Craniovertebral Junction: Commentary on “Measurement of Deformity at the Craniovertebral Junction: Correlation of Triangular Area and Myelopathy”
    Jae Taek Hong
    Neurospine.2022; 19(4): 896.     CrossRef
  • 6,655 View
  • 229 Download
  • 3 Web of Science
  • 3 Crossref

Review Article

Upper Cervical Spine Trauma: WFNS Spine Committee Recommendations
Oscar L. Alves, Leopoldina Pereira, Se-Hoon Kim, Andrey Grin, Nobuyuki Shimokawa, Nikolay Konovalov, Mehmet Zileli
Neurospine 2020;17(4):723-736.   Published online December 31, 2020
DOI: https://doi.org/10.14245/ns.2040226.113

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Upper Cervical Spine Trauma: WFNS Spine Committee Recommendations
Neurospine. 2020;17(4):723-736.   Published online December 31, 2020
DOI: https://doi.org/10.14245/ns.2040226.113
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Upper Cervical Spine Trauma: WFNS Spine Committee Recommendations
Neurospine. 2020;17(4):723-736.   Published online December 31, 2020
DOI: https://doi.org/10.14245/ns.2040226.113
Close
Craniovertebral junction (CVJ) trauma is a challenging clinical condition. Being a highly mobile functional unit at the junction of the skull and the vertebral column, traumatic events in this area may produce devastating neurological complications and death. Additionally, many of the CVJ traumatic injuries can be left undiagnosed or even raise difficult treatment dilemmas. We present a literature review in the format of recommendations on the diagnosis and management of different scenarios for upper cervical trauma and produce recommendations, which can be applicable to various areas of the globe.

Citations

Citations to this article as recorded by  Crossref logo
  • Surgical versus conservative management of Hangman’s fractures: a meta-analysis
    Marc Boutros, Guy Awad, Christèle Asmar, Jad Lawand, Antoine Mouawad, Jad Bou Monsef
    European Journal of Orthopaedic Surgery & Traumatology.2026;[Epub]     CrossRef
  • A cadaveric feasibility study of the LM-B screw as a novel posterolateral C1 lateral mass to C2 vertebral body fixation trajectory
    Bahadır Topal, Yahya Güvenç
    Scientific Reports.2026;[Epub]     CrossRef
  • Implantation choices, fusion preferences and implant removal after fixation in C1-C2 fractures: An AO Spine Knowledge Forum expert survey
    Rishi Mugesh Kanna, Mitchell Ng, Andrei F Joaquim, Gregory D Schroeder, Mohammad El-Sharkawi, Alfredo Guiroy, Ratko Yurac, Brian A Karamian, Charlotte Dandurand, Alexander R Vaccaro, Grace Xiong, Richard Bransford, Martin Holas, Klaus Schnake
    European Spine Journal.2026;[Epub]     CrossRef
  • The Utility of Bracing in Modern Spine Care
    William A. Green, Jonathan Dalton, Joshua Mathew, Gregorio Baek, Jarod Olson, Yulia Lee, Yasmine Eichbaum, Grant Thomas, Lucas Hauth, Nicholas Tomasko, Mohammed Khan, Alexander R. Vaccaro
    Contemporary Spine Surgery.2026; 27(7): 1.     CrossRef
  • Stable reduction of upper cervical spinal cord area in cervical dystonia
    Melanie Suette, Teresa Gerhalter, Thiago J.R. Rezende, Stephan Seiler, Maria Zangl, Petra Katschnig-Winter, Mariella Koegl, Johanna Mayrhofer-Grüenbühl, Christian Enzinger, Petra Schwingenschuh
    Parkinsonism & Related Disorders.2026; 150: 108417.     CrossRef
  • The establishment of a novel upper cervical complex fracture classification system
    Shangye Li, Xiulian Xu, Mingzheng Chang, Hao Li, Rongkun Xu, Wenyang Fu, Lulu Wang, Yonggang Li, Suomao Yuan, Yonghao Tian, Lianlei Wang, Xinyu Liu
    The Spine Journal.2025; 25(1): 127.     CrossRef
  • BOOTStrap-SCI: Beyond One option of treatment for spinal trauma and spinal cord injury: Consensus-based stratified protocols for pre-hospital care and emergency room (part I)
    Nicolò Marchesini, Andreas K. Demetriades, Oscar Alves, Riya Mandar Dange, Harold Mauricio Choco, Edinson Dussan Lozada, Dumar Javier Figueredo Sanabria, Angélica Gamboa, Luz Llined Mendoza Victoria, Enoc Noscue Montealegre, Jonathan A. Pardo Carranza, Jo
    Brain and Spine.2025; 5: 104251.     CrossRef
  • Prevertebral Hematoma: A Potential Biomarker for the Severity of Upper Cervical Spine Trauma and a Predictor for the Need for Surgical Intervention
    Roy Riascos, Kamand Khalaj, Elham Tavakkol, Andres Rodriguez, Jennifer McCarty, David Timaran Montenegro
    American Journal of Neuroradiology.2025; 46(9): 1943.     CrossRef
  • “Successful delayed fracture healing of a type-II odontoid fracture following posterior C1-C2 salvage fusion in an elderly patient: case report”
    Anirudh N. Eranki, Christopher M. Uchiyama
    Interdisciplinary Neurosurgery.2025; 41: 102120.     CrossRef
  • The surgical treatment of upper cervical spine trauma in octogenerians
    Mirza Pojskić, Miriam Bopp, Christopher Nimsky, Benjamin Saß
    Brain and Spine.2025; 5: 105863.     CrossRef
  • What Factors Influence the Final Outcome in Occipital Condyle Fractures?
    U. S. Srinivasan, Al-Busaidi Ali Sultan, Eltayeb Abdalla Ali Mubarak
    Indian Journal of Neurosurgery.2024; 13(01): 068.     CrossRef
  • Current Concepts in the Treatment of Traumatic C2 Vertebral Fracture : A Literature Review
    Subum Lee, Junseok W Hur, Younggyu Oh, Sungjae An, Gi-Yong Yun, Jae-Min Ahn
    Journal of Korean Neurosurgical Society.2024; 67(1): 6.     CrossRef
  • Atlanto‐occipital fracture: Intrathecal corticosteroid medication of the subarachnoid space—A novel treatment method
    Suzy Hall, Lucy Meehan‐Howard, Jamie Prutton
    Equine Veterinary Education.2024;[Epub]     CrossRef
  • Short-term and long-term results of odontoid screw fixation in patients with Type II and rostral Type III dens fractures
    Ivan Lvov, Andrey Grin, Aleksandr Talypov, Anton Kordonskiy, Aleksandr Tupikin
    Neurocirugía (English Edition).2024; 35(5): 233.     CrossRef
  • Short-term and long-term results of odontoid screw fixation in patients with Type II and rostral Type III dens fractures
    Ivan Lvov, Andrey Grin, Aleksandr Talypov, Anton Kordonskiy, Aleksandr Tupikin
    Neurocirugía.2024; 35(5): 233.     CrossRef
  • C1-ring оsteosynthesis as a functionally preserving operation for unstable atlas fractures
    I. V. Basankin, Abram Akopovich Giulzatyan, I. M. Magomedov, K. K. Takhmazyan, M. I. Tomina, S. B. Malakhov, A. A. Afaunov, V. A. Porkhanov
    Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika).2024; 21(3): 6.     CrossRef
  • Pediatric Cervical Spine Trauma
    Justin K. Zhang, Natasha Hongsermeier-Graves, Boris Savic, Jeffrey Nadel, Brandon A. Sherrod, Douglas L. Brockmeyer, Rajiv R. Iyer
    Clinical Spine Surgery.2024; 37(9): 416.     CrossRef
  • C1C2 Wiring and Posttraumatic Atlantoaxial Dislocation: An Effective and Cheap Surgical Procedure in a Developing Country
    Ibrahim Dao, Massimiliano Visocchi, Salah Sow, John Jabang, Ousmane Ouattara, Astride Somda, Abdoulaye Sanou, Elie Dibloni Nassoum, Arsène Tossou, Narcisse Ouedraogo, Frédéric Bako, Massadiami Soulama, Malick Diallo, Patrick Wendpouiré Hamed Dakouré
    Surgical Science.2024; 15(05): 357.     CrossRef
  • Upper Cervical Spine Injuries
    Woo-Kie Min, Eugene J. Park, Eung-Kyoo Park
    Journal of Korean Society of Spine Surgery.2023; 30(1): 44.     CrossRef
  • The use of a novel reduction plate in transoral anterior C1-ring osteosynthesis for unstable atlas fractures
    Xiaobao Zou, Haozhi Yang, Chenfu Deng, Suochao Fu, Junlin Chen, Rencai Ma, Xiangyang Ma, Hong Xia
    Frontiers in Surgery.2023;[Epub]     CrossRef
  • Approach to upper cervical trauma
    Gomatam R. Vijay Kumar
    Indian Spine Journal.2022; 5(1): 10.     CrossRef
  • Exploring perspectives and adherence to guidelines for adult spinal trauma in low and middle-income healthcare economies: A survey on barriers and possible solutions (part I)
    Nicolò Marchesini, Andreas K. Demetriades, Oscar L. Alves, Francesco Sala, Andrés M. Rubiano
    Brain and Spine.2022; 2: 100932.     CrossRef
  • Osteoporotic vertebral fractures: WFNS Spine Committee Recommendations
    Mehmet ZILELI, Maurizio FORNARI, Jutty PARTHIBAN, Salman SHARIF
    Journal of Neurosurgical Sciences.2022;[Epub]     CrossRef
  • A survey on the early management of spinal trauma in low and middle-income countries: From the scene of injury to the diagnostic phase (part II)
    Andreas K. Demetriades, Nicolò Marchesini, Oscar L. Alves, Andrés M. Rubiano, Francesco Sala
    Brain and Spine.2022; 2: 101185.     CrossRef
  • Surgical Versus Conservative Management for Treating Unstable Atlas Fractures: A Multicenter Study
    Jun Jae Shin, Kwang-Ryeol Kim, Joongkyum Shin, Jiin Kang, Ho Jin Lee, Tae Woo Kim, Jae Taek Hong, Sang-Woo Kim, Yoon Ha
    Neurospine.2022; 19(4): 1013.     CrossRef
  • Longitudinal atlantoaxial dislocation associated with type III odontoid fracture due to high-energy trauma. Case report and literature review
    Juan F. Sánchez-Ortega, Alfonso Vázquez, Juan A. Ruiz-Ginés, Patricio J. Matovelle, Juan B. Calatayud
    Spinal Cord Series and Cases.2021;[Epub]     CrossRef
  • Upper Cervical Trauma
    Catherine Olinger, Richard Bransford
    Orthopedic Clinics of North America.2021; 52(4): 451.     CrossRef
  • Manuelle Technik trifft Robotik
    E. Kollig, S. Waldeck
    Manuelle Medizin.2021; 59(4): 284.     CrossRef
  • 20,722 View
  • 630 Download
  • 23 Web of Science
  • 28 Crossref

Original Articles

Outcomes of Patients Undergoing Anterior Screw Fixation for Odontoid Fracture and Analysis of the Predictive Factors for Surgical Failure
Tae-Kyu Lee, Moon-Soo Han, Seul-Kee Lee, Bong Ju Moon, Jung-Kil Lee
Neurospine 2020;17(3):603-609.   Published online September 30, 2020
DOI: https://doi.org/10.14245/ns.2040362.181

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Outcomes of Patients Undergoing Anterior Screw Fixation for Odontoid Fracture and Analysis of the Predictive Factors for Surgical Failure
Neurospine. 2020;17(3):603-609.   Published online September 30, 2020
DOI: https://doi.org/10.14245/ns.2040362.181
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Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
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Outcomes of Patients Undergoing Anterior Screw Fixation for Odontoid Fracture and Analysis of the Predictive Factors for Surgical Failure
Neurospine. 2020;17(3):603-609.   Published online September 30, 2020
DOI: https://doi.org/10.14245/ns.2040362.181
Close
Objective
Anterior odontoid screw fixation (AOSF) is a safe and effective treatment for type II and rostral type III odontoid fracture. This study aimed to report the outcomes of the AOSF surgery and evaluate the potential risk factors of surgical failure.
Methods
We enrolled 63 patients who underwent AOSF. Follow-up computed tomography was performed 6 months after the surgery and once a year thereafter to evaluate the union. Clinical data including the age, sex, presenting symptoms, cause of injury, fracture gaps, dislocation position, degree of displacement, screw direction angle, and time interval from injury to operation were collected.
Results
Successful fusion was achieved in 55 patients (87.3%) and surgical failure occurred in 8 patients (12.7%). Variables such as age, sex, dislocation position, degree of displacement, screw direction angle, and time interval from injury to operation were not significantly associated with the surgical failure. However, surgical failure was statistically significantly associated with the fracture gap. The overall mean fracture gap at the time of injury was 1.29 mm (range, 0–3.11 mm), and the incidence of surgical failure was 8.3 times higher when the fracture gap at the time of injury was > 2 mm (p = 0.019).
Conclusion
When performing AOSF in patients with type II or rostral shallow type III odontoid fractures, the displacement of the odontoid fracture fragment should be appropriately reduced to the aligning position before screw insertion and downward reduction should be achieved by perforation of the apical cortex of the odontoid during screw fixation, even if the surgery is delayed.

Citations

Citations to this article as recorded by  Crossref logo
  • Matched case-control study of odontoid osteosynthesis vs hard collar immobilisation for Type II odontoid fractures in the elderly: higher risk of adverse events with no long-term functional benefits
    Laura Martou, Jigyasa Madan, Surya Batas, Santhosh G. Thavarajasingam, Jin-Sung Kim, Darren F. Liu, Salvatore Russo
    European Spine Journal.2026;[Epub]     CrossRef
  • Robot-assisted anterior odontoid screw for the treatment of type Ⅱ odontoid fractures: Safety and effectiveness analysis
    Liang Wang, Bin Xia, Bo Yang
    Clinical Neurology and Neurosurgery.2025; 249: 108685.     CrossRef
  • Clinical Efficacy Analysis of Posterior Lateral Mass Screw Cantilever Technique in the Treatment of Type II Odontoid Fractures
    君 刘
    Advances in Clinical Medicine.2025; 15(08): 1741.     CrossRef
  • Impact of surgical delay on 30-day reoperation rates and length of stay after anterior fixation of odontoid fractures
    Ryan Hoang, Haiyue Jin, Pirooz Fereydouni, Arthur Cowman, Junho Song, Timothy Hoang, David Essig, Sohrab Virk, Austen Katz
    Journal of Craniovertebral Junction and Spine.2025; 16(3): 307.     CrossRef
  • Impact of Fracture Deficit Volume on Fusion Success in Anterior Odontoid Screw Fixation
    JinWoo Jung, Young San Ko, Yu Sung Yoon, Dae-Chul Cho
    Neurospine.2025; 22(3): 859.     CrossRef
  • Surgeon Experience Is the Most Important Predictor of Case Failure Rate for Anterior Odontoid Screw Fixation
    Yichen Fan, Andrew Sauer, Jonathan Kark, James Wright, Jung U. Yoo
    Clinical Spine Surgery.2024; 37(6): E253.     CrossRef
  • Atlantoaxial trauma
    Mitchell F. Bowers, Mason W. Young, Byron F. Stephens, Julian G. Lugo-Pico
    Seminars in Spine Surgery.2024; 36(2): 101098.     CrossRef
  • Assessing the Impact of Undiagnosed C1‒C2 Rotatory Subluxation in the Conservative Treatment of Odontoid Fractures
    Simon Diaz, Mejdeddine Al Barajraji, Victoria Dembour, Dominique Rothenfluh, Juan Barges-Coll
    World Neurosurgery.2024; 191: e723.     CrossRef
  • Case report: Interdisciplinary treatment of complex C1/C2 fractures in a patient with concomitant three-vessel coronary artery disease requiring bypass surgery
    M. E. Di Francesco, H. Magunia, A. Örgel, M. Tatagiba, M. Radwan, S. D. Adib
    Frontiers in Surgery.2023;[Epub]     CrossRef
  • Analysis of radiological measurement parameters that can predict the type of treatment to be applied in odontoid fractures: Clinical research
    Mustafa Ogden, Ahmet Melih Erdogan, Mustafa Ilker Karagedik, Selcuk Baser, Ibrahim Umud Bulut, Ozge Sevimoglu, Ulas Yuksel, Bulent Bakar
    Journal of Craniovertebral Junction and Spine.2023; 14(3): 245.     CrossRef
  • Determination and optimization of ideal patient candidacy for anterior odontoid screw fixation
    Brian Fiani, Thao Doan, Claudia Covarrubias, Jennifer Shields, Manraj Sekhon, Alexander Rose
    Surgical Neurology International.2021; 12: 170.     CrossRef
  • Anterior Odontoid Screw Fixation for C2 Fractures: Surgical Nuances, Complications, and Factors Affecting Fracture Union
    Gaurav Tyagi, Kautilya R. Patel, Gyani Jail Singh, Alok Mohan Uppar, Manish Beniwal, Kannepalli Venkata Lakkshmana Narsinga Rao, Nupur Pruthi, Dhananjaya Bhat, Sampath Somanna, Bangalore Chandramouli, Srinivas Dwarakanath
    World Neurosurgery.2021; 152: e279.     CrossRef
  • Unstable odontoid fractures: technical appraisal of anterior extrapharyangeal open reduction internal fixation for irreducible unstable odontoid fractures. Patient series
    Sushil Patkar
    Journal of Neurosurgery: Case Lessons.2021;[Epub]     CrossRef
  • 10,965 View
  • 202 Download
  • 13 Web of Science
  • 13 Crossref
Treatment of Odontoid Type II Fractures in Octogenarians: Balancing Two Different Treatment Strategies
Oliver Gembruch, Elias Lemonas, Yahya Ahmadipour, Ulrich Sure, Nicolai El Hindy, Richard Dodel, Oliver Müller
Neurospine 2019;16(2):360-367.   Published online February 23, 2019
DOI: https://doi.org/10.14245/ns.1836250.125

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Treatment of Odontoid Type II Fractures in Octogenarians: Balancing Two Different Treatment Strategies
Neurospine. 2019;16(2):360-367.   Published online February 23, 2019
DOI: https://doi.org/10.14245/ns.1836250.125
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Treatment of Odontoid Type II Fractures in Octogenarians: Balancing Two Different Treatment Strategies
Neurospine. 2019;16(2):360-367.   Published online February 23, 2019
DOI: https://doi.org/10.14245/ns.1836250.125
Close
Objective
Demographic changes have led to a higher incidence of C-2 fractures, especially in elderly patients. For patients with type II fractures, treatment remains controversial, as discussed by Anderson and D’Alonzo, due to the rising morbidity and mortality rates for any treatment. The aim of this study was to compare conservative and surgical management in patients with type II C-2 fractures regarding outcomes, complications, and the mortality rate.
Methods
A retrospective analysis was performed of the medical records, X-rays, and/or computed tomography scans of patients ≥80 years of age with type II fractures who were admitted to our Department of Neurosurgery between January 1990 and December 2017. The success of treatment was evaluated 3 months after surgery.
Results
In total, 125 patients were included, of whom 98 were treated surgically and 27 were treated conservatively. Surgical treatment was successful in 90.8% of cases, while conservative treatment was successful in 70.0%. The in-hospital mortality was 14.29% and the 3-month mortality was 27.8% in the surgical group, compared to 3.7% and 20% in the conservatively treated group. The in-hospital complication rate was 22.4% in the surgically treated patients and 7.4% in the conservatively treated patients.
Conclusion
Surgical treatment of type II fractures seemed to be associated with higher success and complication rates than conservative treatment. Nevertheless, 3-month mortality was comparable in both groups. Therefore, we conclude that surgical treatment for type II fractures in elderly patients is superior to conservative management, although conservative treatment remains a valuable option in elderly patients with severe comorbidities.

Citations

Citations to this article as recorded by  Crossref logo
  • Outcomes of early vs delayed surgical intervention in geriatric patients with cervical spinal fractures and spinal cord injuries
    Harry Marland, Arnav Barve, Jake M. McDonnell, Meadhbh Ni Mhiochain de Grae, Conor McNamee, Kielan V. Wilson, Stacey Darwish, Joseph S. Butler
    The Surgeon.2026; 24(3): 200.     CrossRef
  • Does early surgical intervention for type II dens fractures improve survival in octogenarians? A propensity-matched analysis
    Ziam Khan, Kevin T. Kim, Parantap Patel, Timothy Chryssikos
    British Journal of Neurosurgery.2026; : 1.     CrossRef
  • Cases and Controversies in Spine Trauma
    Katherine M. Bunch, Nathaniel Brooks, Wendell Lake, Bradley T. Schmidt, Daniel K. Resnick
    Neurosurgery Clinics of North America.2025; 36(1): 31.     CrossRef
  • Ununited Mobile Odontoid Fracture: Clinical and Imaging Findings With Subsequent Management: A Case Report
    Inger K. Roug, Jane Cook, Vijay Kumar Pabbathi, John Andrew Radin
    Journal of Chiropractic Medicine.2025; 24(1-4): 402.     CrossRef
  • Operative versus nonoperative management of type II odontoid fractures in the elderly: A systematic review and meta-analysis of comparative studies
    Guy Awad, Marc Boutros, Gebrane Abou Mjahed, Jad Bou Monsef
    Clinical Neurology and Neurosurgery.2025; 258: 109165.     CrossRef
  • Risk factors for in-hospital mortality in geriatric patients aged 80 and older with axis fractures: a nationwide, cross-sectional analysis of concomitant injuries, comorbidities, and treatment strategies in 10,077 cases
    Maximilian Kerschbaum, Lisa Klute, Leopold Henssler, Markus Rupp, Volker Alt, Siegmund Lang
    European Spine Journal.2024; 33(1): 185.     CrossRef
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    Brian C. Goh, Tariq Z. Issa, Yunsoo Lee, Alexander R. Vaccaro, Arjun S. Sebastian
    Journal of the American Academy of Orthopaedic Surgeons.2024; 32(2): e84.     CrossRef
  • Assessing the Impact of Undiagnosed C1‒C2 Rotatory Subluxation in the Conservative Treatment of Odontoid Fractures
    Simon Diaz, Mejdeddine Al Barajraji, Victoria Dembour, Dominique Rothenfluh, Juan Barges-Coll
    World Neurosurgery.2024; 191: e723.     CrossRef
  • Morbidity and mortality of traumatic cervical spinal cord injuries in a geriatric cohort
    Kielan V. Wilson, Jake M. McDonnell, Sandra O’Malley, Deirdre Lynch, Jeremie Larouche, Gráinne M. Cunniffe, Stacey Darwish, Seamus Morris, Joseph S. Butler
    Irish Journal of Medical Science (1971 -).2023; 192(4): 1719.     CrossRef
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    Claudius Thomé
    Die Wirbelsäule.2023; 7(01): 43.     CrossRef
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    Georg Osterhoff, Matti Scholz, Alexander C. Disch, Sebastian Katscher, Ulrich J. A. Spiegl, Klaus John Schnake, Max J. Scheyerer
    Global Spine Journal.2023; 13(1_suppl): 13S.     CrossRef
  • Type II Odontoid Fractures: Is the Anterior Screw a Good Solution for all Patients? A Case Series of 60 Consecutive Patients
    Fernando Luiz Rolemberg Dantas, François Dantas, Gustavo Agra Cariri, Antônio Carlos Vieira Caires, Marco Túlio Domingos Silva e Reis, Ricardo Vieira Botelho
    World Neurosurgery.2023; 176: e535.     CrossRef
  • The optimal treatment of type II and III odontoid fractures in the elderly: an updated meta-analysis
    Jeroen G. J. Huybregts, Karma A. Barot, Camila Recio, Joanne Doucette, Rania A. Mekary, Carmen L. A. Vleggeert-Lankamp
    European Spine Journal.2023; 32(10): 3434.     CrossRef
  • Morbidity and mortality related to type II odontoid fractures in octogenarians undergoing surgery: a retrospective study with 5 year follow up
    Pavlina Lenga, Gelo Gülec, Karl Kiening, Andreas W. Unterberg, Basem Ishak
    Frontiers in Medicine.2023;[Epub]     CrossRef
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    Akira Honda, Yoichi Iizuka, Nobuaki Michihata, Kojiro Morita, Tokue Mieda, Eiji Takasawa, Sho Ishiwata, Yohei Kakuta, Yusuke Tomomatsu, Shunsuke Ito, Kazuhiro Inomata, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Hirotaka Chikuda
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  • Odontoid fracture in geriatric patients — analysis of complications and outcome following conservative treatment vs. ventral and dorsal surgery
    Matthias K. Jung, Lukas Hörnig, Philipp Raisch, Paul A. Grützner, Michael Kreinest
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Clinical Article

Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification
Eui-Jin Cho, Se-Hoon Kim, Won-Hyung Kim, Sung-Won Jin, Seung-Hwan Lee, Bum-Joon Kim, Sung-Gon Ha, Sang-Dae Kim, Dong-Jun Lim
Korean J Spine 2017;14(2):44-49.   Published online June 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.2.44

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Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification
Korean J Spine. 2017;14(2):44-49.   Published online June 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.2.44
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Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification
Korean J Spine. 2017;14(2):44-49.   Published online June 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.2.44
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Objective
Odontoid fracture is common in cervical injury, representing about 20% of total cervical fractures. Classic odontoid fracture classification focused on anatomy of fracture site has no treatment recommendation and a modified treatment-oriented classification of odontoid fracture was suggested in 2005. We reviewed our odontoid fracture patients to assess the feasibility and efficacy of Grauer’s classification. Methods: Between October 2000 and September 2015, we collected data from patients who came to our institute for odontoid fracture. Demographic data of patients was reviewed, and neck visual analog scale (VAS) score and fusion rate were assessed by reviewing electronic medical records retrospectively. Results: Sixty-nine patients out of a total of eighty two odontoid fracture patients were reviewed according to Grauer’s classification. Neck VAS of all subtypes in odontoid fracture classification were decreased at last follow-up (p=0.001). Overall fusion rate was 88.4% at last follow-up. Concordance rate between Grauer’s recommendation and our treatment was 69.9%, especially in type II with the concordance higher than 80%. Complication was minimal representing 7.2%, only in types I and III. Conclusion: In this study, there were statistically significant improvement in all subtypes in terms of neck VAS at the last follow up, especially in types II and III. Grauer’s classification appears to be meaningful to decide treatment plan for odontoid fractures, especially type II odontoid fracture.

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    Indian Journal of Neurosurgery.2026;[Epub]     CrossRef
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Case Report

Anterior Screw Fixation of Anteriorly Displaced Type III Odontoid Fracture Corrected by Transoral Digital Manipulation
Do-sung Lee
Korean J Spine 2013;10(2):101-103.   Published online June 30, 2013
DOI: https://doi.org/10.14245/kjs.2013.10.2.101

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Anterior Screw Fixation of Anteriorly Displaced Type III Odontoid Fracture Corrected by Transoral Digital Manipulation
Korean J Spine. 2013;10(2):101-103.   Published online June 30, 2013
DOI: https://doi.org/10.14245/kjs.2013.10.2.101
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Anterior Screw Fixation of Anteriorly Displaced Type III Odontoid Fracture Corrected by Transoral Digital Manipulation
Korean J Spine. 2013;10(2):101-103.   Published online June 30, 2013
DOI: https://doi.org/10.14245/kjs.2013.10.2.101
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Type III odontoid fractures have been treated by several methods. In case of anteriorly displaced type III odontoid fracture which is not corrected by closed reduction, anterior screw fixation cannot be used. We report the first case of anterior screw fixation of anteriorly displaced type III odontoid fracture corrected by transoral digital manipulation.

Citations

Citations to this article as recorded by  Crossref logo
  • Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification
    Eui-Jin Cho, Se-Hoon Kim, Won-Hyung Kim, Sung-Won Jin, Seung-Hwan Lee, Bum-Joon Kim, Sung-Gon Ha, Sang-Dae Kim, Dong-Jun Lim
    Korean Journal of Spine.2017; 14(2): 44.     CrossRef
  • 8,639 View
  • 53 Download
  • 1 Crossref
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