Turkish Neurosurgery
2013 , Vol 23 , Num 5
A New Guide Tube for Odontoid Screw Fixation for Unstable Odontoid Fractures: Report of 6 Case Series
1Celal Bayar University, Faculty of Medicine, Department of Neurosurgery, Manisa, Turkey2Ege University, Faculty of Medicine, Department of Neurosurgery, Izmir, Turkey DOI : 10.5137/1019-5149.JTN.7914-13.0 AIM: We describe a modified form of traditional open surgery with a new guide tube. This guide tube permits anterior screwing of odontoid in a shorter time with a more simple technique as compared to traditional open surgery, endoscopic and percutaneous surgeries.
MATERIAL and METHODS: Our series includes 6 patients who were operated for unstable odontoid fracture. We used a new guide tube for anterior odontoid screw fixation. This guide tube was designed by the first author to facilitate the insertion of the K-wire for placement of a cannulated lag screw.
RESULTS: Successful placement of the odontoid screws and immediate spinal stabilization were achieved in all patients. Solid fusion was observed during follow-up time in all patients.
CONCLUSION: This screw insertion technique for odontoid screw fixation provides a minimally invasive, safe and easy surgery in contrast to other surgical approaches.
Keywords : Odontoid fracture, New guide tube, Odontoid Screw fixation