Abstract
IntroductionOdontoid fractures are common. They represent 20% of all cervical trauma. There is a trend towards surgical stabilization. Fracture fixation with 1 or 2 anterior screws is standard operative treatment in younger population. Presentation of caseA case of type 2 odontoid fracture. The fracture was fixed initially with a halo vest temporarily. The patient was later treated operatively with anterior odontoid screw fixation. Reduction of the fracture was achieved using a bivector traction over a halo ring. The patient achieved an anatomical reduction and a rigid fixation. DiscussionType 2 odontoid fracture is very controversial to treat. Several methods of fracture reduction have been described in the literature including Gardner-Wells Tongs and Mayfield head clamp. To our knowledge, fracture reduction with biverctor traction over a halo frame hasn’t been described before in the literature. ConclusionBivector traction over a halo ring can be used for intraoperative reduction of odontoid fracture.
Highlights
We are presenting a case of type 2 odontoid fracture in which reduction of the fracture was achieved using simultaneous traction over a halo ring
One rope applied to the posterior ring (Flexion rope) and the other one was applied to the mid portion of the anterior ring where the attachment to the halo vest rods were located (Fig. 4)
Odontoid fractures represent the most common cervical spine fracture accounting for 20% of them [8,9]
Summary
They represent 20% of all cervical trauma. Fracture fixation with 1 or 2 anterior screws is standard operative treatment in younger population. PRESENTATION OF CASE: A case of type 2 odontoid fracture. The patient was later treated operatively with anterior odontoid screw fixation. Reduction of the fracture was achieved using a bivector traction over a halo ring. DISCUSSION: Type 2 odontoid fracture is very controversial to treat. Several methods of fracture reduction have been described in the literature including Gardner-Wells Tongs and Mayfield head clamp. Fracture reduction with biverctor traction over a halo frame hasn’t been described before in the literature. CONCLUSION: Bivector traction over a halo ring can be used for intraoperative reduction of odontoid fracture
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