Turkish Neurosurgery 2012 , Vol 22 , Num 5
Clinical Results of Surgical Management in Type II Odontoid Fracture: A Preliminary Report
1Mashhad of University Medical Science, Trauma Research Center, Shahid Kamyab Hospital, Department of Neurosurgery, Mashhad/Khorasan Razavi, Islamic Republic of Iran
2Mashhad of University Medical Science, Trauma Research Center, Shahid Kamyab Hospital, Department of Orthopedic Surgery, Mashhad/ Khorasan Razavi, Islamic Republic of Iran
DOI : 10.5137/1019-5149.JTN.5231-11.2 AIM: This study was conducted to evaluate the therapeutic effectiveness of surgical approaches in type II odontoid fracture.

MATERIAL and METHODS: In a retrospective study in Mashhad university, 15 patients with anterior screw fixation technique (ASF) and 31 patients with posterior approaches (PA) were reviewed. Patient demographics, clinical presentation, length of hospital stay, operation time, injury severity score (ISS), Preinjury Charlson comorbidity index, fusion rate and surgical complications were analyzed in these two groups.

RESULTS: Neck pain was the most common clinical presentation in these two groups (89.7%). There were no significant differences in ISS and mean length of hospital stay and Comorbidity index between the two groups. The operation time was different between these two groups (65 minutes in ASF versus118 minutes in PA, P < 0.05). Bone union was documented in 13 patients (87%) with ASF and 28 patients (90%) with PA.

CONCLUSION: The outcome of surgery with anterior or posterior approach in the patients are potential candidates for surgery is good. In our patients, the operation time is different in the two groups but differences in fusion rate, length of hospital stay, comorbidity index and postsurgical complications are not considerable. Keywords : Type II odontoid fracture, Surgical management, Anterior approach, Posterior approach

Corresponding author : Fariborz Samını, Saminif@Mums.ac.ir