Delayed Neurological Deficit after Traumatic Odontoid Fracture

Neurologico Spinale Medico Chirurgico

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Title Delayed Neurological Deficit after Traumatic Odontoid Fracture
Creator Yunus, Yesaya
July, Julius
Description Fractures of the odontoid process can lead to gross instability of the atlantoaxial complex and present a significant risk for a potentially catastrophic spinal cord injury. Type II odontoid fractures are the most common odontoid fractures and are unstable that may displace anteriorly or posteriorly.  If left untreated, the patient may develop atlantoaxial dislocation that causes neurological deficit also progressive myelopathy.We described the surgical management of four patients with a delayed neurological deficit after odontoid fracture with a history of trauma and after triggered by traditional massage. Traction several days before operation applied to achieve reduction of atlantoaxial dislocation.Posterior instrumentation and correction of atlantoaxial dislocation were performed with interarticular screw fixation (Harm technique) in all of the patients.All of the four patients showed a reduction of the atlantoaxial dislocation and also a neurological improvement. Cervical traction followed by posterior instrumented correction may be an effective alternative to treating delayed neurological deficits after traumatic odontoid fracture. 
Publisher DiscoverSys Inc
Contributor Abstracts from the 1st JINeF with the 1st Congress of Indonesian Neurospine Society and 4th Indonesia Spine Update: “Looking to the Best and Furious: Spine Health for Better Quality of Life” Harris Hotel, Kelapa Gading, Jakarta, Indonesia, 2 – 5 May 2018
Date 2018-08-07
Type info:eu-repo/semantics/article

Format application/vnd.openxmlformats-officedocument.wordprocessingml.document
Source Neurologico Spinale Medico Chirurgico; Vol 1, No 2 (2018): Conference Abstracts - Supplements; 22
Language eng
Rights Copyright (c) 2018 Yesaya Yunus, Julius July

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