Turkish Neurosurgery 2022 , Vol 32 , Num 5
Can The Fracture Line of Type II Odontoid Fractures Come to A Neutral Position After Anterior Odontoid Screw Fixation without a Manipulation?
Turgut KUYTU1,Ahmet KARAOGLU1,Mesut CELIK1,Fatih AYDEMIR1,Rifat OZPAR1,Yusuf TUZUN1
1Istinye University School of Medicine, VM Medical Park Hospital Bursa, Department of Neurosurgery, Bursa, Turkey
2Sevket Yilmaz Education and Research Hospital, Department of Neurosurgery, Bursa, Turkey
3Bursa City Hospital, Department of Neurosurgery, Bursa, Turkey
4Uludag University School of Medicine, Department of Radiology, Bursa, Turkey
DOI : 10.5137/1019-5149.JTN.36245-21.2 AIM: To examine whether there was an improvement in the displaced fracture line in the follow-up, in which Anterior odontoid screw fixation (AOSF) was performed without manipulation and to determine the "displacement angle range" in which AOSF was possible.

MATERIAL and METHODS: A total of 11 patients with the diagnosis of type II odontoid fracture who underwent AOSF without manipulation were analyzed retrospectively. A control group of 30 cases was formed and odontoid related angle measurements were performed on cervical computed tomographies (CT) of the control group and the patients who were operated.

RESULTS: In 6 of 7 cases in the posterior-displaced group along with all cases in the anterior-displaced group, it was determined that the displacement angles returned to the normal range in the 1st year follow-up. In 1 case having posterior displacement with posterior longitudinal ligament (PLL) damage, it was observed that the displacement angle improved to the normal range significantly, but the displacement continued.

CONCLUSION: AOSF is a minimally invasive, safe and effective method in patients with displaced type II odontoid fracture, which is between the median odontoidobasal angle range of 100°-134°, whose PLL is preserved, and which cannot be manipulated. Keywords : Displaced odontoid fracture, Manipulation, Median odontoidobasal angle, Anterior screw fixation

Corresponding author : Turgut KUYTU, turgutkuytu@hotmail.com