Combined Odontoid fracture in a young patient: A Case Report

Ahmad Reza Shahraki; Reza Abaee; Elham Shahraki

Authors

Ahmad Reza Shahraki General surgeon, Assistant professor, Department of surgery, Zahedan medical faculty, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran
Reza Abaee MD, General Physician, Medical Faculty , Tehran, Iran
Elham Shahraki Associated Professor of Nephrology, Department of Internal Medicine, Nephrologist, Ali Ibne Abitaleb Hospital, Zahedan University of Medical Sciences, Zahedan , I.R. Iran

Keywords:

Odontoid process, Computed Tomography, Surgical treatment, Cervical spine

Abstract

Odontoid fractures are 10% of all cervical fractures, among which Type II is estimated to be 66 . Usually presentation is between age of 30 and 50.(4) Most common cause is hyper flexion, followed by hyper xtension, and anterior displacement of C1 on C2 is more common. We report a combined odontoid fracture in a young male patient. the major treatment based on surgery but Without clinical symptoms such as pain, signs such as weakness or radiological evidence of instability despite bony nonunion, fibrous non-union should be considered an acceptable outcome and could be followed conservatively. Surgical treatment proved to have a higher rate of fusion and shorter bone healing times than conservative treatment but Without clinical symptoms such as pain, signs such as weakness or radiological evidence of instability despite bony nonunion, fibrous non-union should be considered an acceptable outcome and could be followed conservatively.

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