Abstract

Type II odontoid fracture classified by Anderson was treated by internal screw fixation using a small cancellous screw. This method, which was introduced by Nakanishi in 1980, has several advantages: 1. Loss of rotation at C1, C2 junction did not occur; 2. Rigid external fixation was not necessary; 3. Early mobilization of a patient was allowed; 4. Good bony union was obtained.Thus, this method may be the treatment of first choice for fresh fracture of the odontoid process.

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