Document Detail


Accident-induced late complaint of odontoid nonunion.
MedLine Citation:
PMID:  15083006     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A case of accident-induced late complaint of odontoid nonunion is reported. OBJECTIVES: To report a rare case of accident-induced late complaint of odontoid nonunion and to discuss operative techniques of stabilization. SUMMARY OF BACKGROUND DATA: The literature is reviewed. METHODS.: A 60-year-old man sustained a neck injury with incomplete transverse lesion after a traffic accident. A loosening of odontoid nonunion with displacement 40 years after primary trauma was noted. RESULTS: Surgical treatment of the odontoid nonunion was undertaken to perform anterior screw fixation and additional posterior C1-C2 arthrodesis according to Gallie or Brooks. The patient wore a cervical brace for 6 weeks and underwent physiotherapy. Neurologic deficit decreased after surgery. CONCLUSION: This is the first reported case of accident-induced loosening of odontoid nonunion. Anterior screw fixation and posterior C1-C2 arthrodesis achieved stable fixation.
Authors:
Christian Boldin; Wolfgang Grechenig; Florian Fankhauser
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  29     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-14     Completed Date:  2004-04-30     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E169-71     Citation Subset:  IM    
Affiliation:
University of Graz, Medical School, Department of Traumatology, Graz, Austria. christian.boldin@klinikum-graz.at
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Bone Screws
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Neck Injuries / complications*,  radiography,  surgery
Odontoid Process / injuries,  pathology*,  surgery
Pseudarthrosis / complications,  pathology,  surgery
Spinal Fusion / instrumentation
Time
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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