Unstable odontoid fracture: Surgical strategy in a 22-case series, and literature review

Orthopaedics and Traumatology: Surgery and Research

Volumn 99, Issue 5, 2013, Pages 615-623

  Steltzlen, C ^a   Lazennec, J Y ^a,b   Catonne Y ^a   Rousseau, M A ^a,b,c  

^a Serv Chir Orthopedique   (France)

^b LABORATOIRE DE BIOMÉCANIQUE   (France)

^c HÔpital Avicenne   (France)

Author keywords

Cervical spine; Fracture; Odontoid; Surgical fixation

Indexed keywords

ADULT; AGED; ARTHRODESIS; BONE SCREW; CLINICAL ARTICLE; FEMALE; FOLLOW UP; FRACTURE FIXATION; FRACTURE NONUNION; HUMAN; MALE; MORBIDITY; MORTALITY; ODONTOID PROCESS FRACTURE; PRIORITY JOURNAL; REVIEW; SURGICAL APPROACH; UNSTABLE ODONTOID FRACTURE;

CERVICAL SPINE; FRACTURE; ODONTOID; SURGICAL FIXATION;

ADOLESCENT; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; BONE SCREWS; CERVICAL VERTEBRAE; COHORT STUDIES; FEMALE; FOLLOW-UP STUDIES; FRACTURE FIXATION, INTERNAL; FRACTURE HEALING; HUMANS; INJURY SEVERITY SCORE; JOINT INSTABILITY; MALE; MIDDLE AGED; ODONTOID PROCESS; RECOVERY OF FUNCTION; RETROSPECTIVE STUDIES; RISK ASSESSMENT; SPINAL FRACTURES; SPINAL FUSION; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84883324719     PISSN: None     EISSN: 18770568     Source Type: Journal    
DOI: 10.1016/j.otsr.2013.02.007     Document Type: Review

References (55)

1. Ryan M.D., Henderson J.J. The epidemiology of fractures and fracture-dislocations of the cervical spine. Injury 1992, 23:38-40.
2. Southwick W.O. Management of fractures of the dens (odontoid process). J Bone Joint Surg Am 1980, 62:482-486.
3. Maak T.G., Grauer J.N. The contemporary treatment of odontoid injuries. Spine 2006, 31:S53-S60.
4. Müller E.J., Wick M., Russe O., Muhr G. Management of odontoid fractures in the elderly. Eur Spine J 1999, 8:360-365.
5. White A.A., Panjabi M.M. The clinical biomechanics of the occipitoatlantoaxial complex. Orthop Clin North Am 1978, 9:867-878.
6. Clark C.R., White A.A. Fractures of the dens. A multicenter study. J Bone Joint Surg Am 1985, 67:1340-1348.
7. Hanssen A.D., Cabanela M.E. Fractures of the dens in adult patients. J Trauma 1987, 27:928-934.
8. Roy-Camille R., Saillant G., Judet T., de Botton G., Michel G. Factors of severity in the fractures of the odontoid process. Rev Chir Orthop Reparatrice Appar Mot 1980, 66:183-186.
9. Aebi M., Etter C., Coscia M. Fractures of the odontoid process. Treatment with anterior screw fixation. Spine 1989, 14:1065-1070.
10. Fountas K.N., Kapsalaki E.Z., Karampelas I., et al. Results of long-term follow-up in patients undergoing anterior screw fixation for type II and rostral type III odontoid fractures. Spine 2005, 30:661-669.
11. Pepin J.W., Bourne R.B., Hawkins R.J. Odontoid fractures, with special reference to the elderly patient. Clin Orthop Relat Res 1985, 193:178-183.
12. Dunn M.E., Seljeskog E.L. Experience in the management of odontoid process injuries: an analysis of 128 cases. Neurosurgery 1986, 18:306-310.
13. Gallie W. Fractures and dislocations of the cervical spine. Am J Surg 1939, 3:495-499.
14. Brooks A.L., Jenkins E.B. Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg Am 1978, 60:279-284.
15. Garfin S.R., Botte M.J., Waters R.L., Nickel V.L. Complications in the use of the halo fixation device. J Bone Joint Surg Am 1986, 68:320-325.
16. Böhler J. Anterior stabilization for acute fractures and non-unions of the dens. J Bone Joint Surg Am 1982, 64:18-27.
17. Schweigel J.F. Management of the fractured odontoid with halo-thoracic bracing. Spine 1987, 12:838-839.
18. Arand M., Lemke M., Kinzl L., Hartwig E. Incidence of complications of the screw osteosynthesis of odontoid process fractures. Zentralbl Chir 2001, 126:610-615.
19. Etter C., Coscia M., Jaberg H., Aebi M. Direct anterior fixation of dens fractures with a cannulated screw system. Spine 1991, 16:S25-S32.
20. Jeanneret B., Vernet O., Frei S., Magerl F. Atlantoaxial mobility after screw fixation of the odontoid: a computed tomographic study. J Spinal Disord 1991, 4:203-211.
21. Esses S.I., Bednar D.A. Screw fixation of odontoid fractures and nonunions. Spine 1991, 16:S483-S485.
22. Schoenfeld A.J., Bono C.M., Reichmann W.M., Warholic N., Wood K.B., Losina E., et al. Type II odontoid fractures of the cervical spine: do treatment type and medical co-morbidities affect mortality in elderly patients?. Spine (Phila Pa 1976) 2011, 36:879-885.
23. Lieberman I.H., Webb J.K. Cervical spine injuries in the elderly. J Bone Joint Surg Br 1994, 76:877-881.
24. Platzer P., Thalhammer G., Oberleitner G., et al. Surgical treatment of dens fractures in elderly patients. J Bone Joint Surg Am 2007, 89:1716-1722.
25. Omeis I., Duggal N., Rubano J., et al. Surgical treatment of C2 fractures in the elderly: a multicenter retrospective analysis. J Spinal Disord Tech 2009, 22:91-95.
26. Harrop J.S., Hart R., Anderson P.A. Optimal treatment for odontoid fractures in the elderly. Spine 2010, 35:S219-S227.
27. Anderson L.D., D'Alonzo R.T. Fractures of the odontoid process of the axis. J Bone Joint Surg Am 1974, 56:1663-1674.
28. Jeanneret B., Magerl F. Primary posterior fusion C1/2 in odontoid fractures: indications, technique, and results of transarticular screw fixation. J Spinal Disord 1992, 5:464-475.
29. Harms J., Melcher R.P. Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine 2001, 26:2467-2471.
30. Vaccaro A.R., Madigan L., Ehrler D.M. Contemporary management of adult cervical odontoid fractures. Orthopedics 2000, 23:1109-1113.
31. Mixter S.J., Osgood R.B. IV. Traumatic lesions of the atlas and axis. Ann Surg 1910, 51:193-207.
32. Hadley M.N., Browner C., Sonntag V.K. Axis fractures: a comprehensive review of management and treatment in 107 cases. Neurosurgery 1985, 17:281-290.
33. Polin R.S., Szabo T., Bogaev C.A., Replogle R.E., Jane J.A. Nonoperative management of Types II and III odontoid fractures: the Philadelphia collar versus the halo vest. Neurosurgery 1996, 38:450-456.
34. Lind B., Nordwall A., Sihlbom H. Odontoid fractures treated with halo-vest. Spine 1987, 12:173-177.
35. Fourniols E., Lazennec J.Y., Hamma A. Les fractures de l'odontoïde. Maîtrise orthopédique 1997, 68. http://www.maitrise-orthop.com/viewPage.do%3Fid=50.
36. Pal D., Sell P., Grevitt M. Type II odontoid fractures in the elderly: an evidence-based narrative review of management. Eur Spine J 2011, 20:195-204.
37. Tashjian R.Z., Majercik S., Biffl W.L., Palumbo M.A., Cioffi W.G. Halo-vest immobilization increases early morbidity and mortality in elderly odontoid fractures. J Trauma 2006, 60:199-203.
38. Seybold E.A., Bayley J.C. Functional outcome of surgically and conservatively managed dens fractures. Spine 1998, 23:1837-1845.
39. Curran D., Maravic M., Kiefer P., Tochon V., Fardellone P. Epidemiology of osteoporosis-related fractures in France: a literature review. Joint Bone Spine 2010, 77:546-551.
40. Börm W., Kast E., Richter H.-P., Mohr K. Anterior screw fixation in type II odontoid fractures: is there a difference in outcome between age groups?. Neurosurgery 2003, 52:1089-1092.
41. Platzer P., Thalhammer G., Ostermann R., et al. Anterior screw fixation of odontoid fractures comparing younger and elderly patients. Spine 2007, 32:1714-1720.
42. Berlemann U., Schwarzenbach O. Dens fractures in the elderly. Results of anterior screw fixation in 19 elderly patients. Acta Orthop Scand 1997, 68:319-324.
43. Harrop J.S., Przybylski G.J., Vaccaro A.R., Yalamanchili K. Efficacy of anterior odontoid screw fixation in elderly patients with Type II odontoid fractures. Neurosurg Focus 2000, 8:e6.
44. Andersson S., Rodrigues M., Olerud C. Odontoid fractures: high complication rate associated with anterior screw fixation in the elderly. Eur Spine J 2000, 9:56-59.
45. Sasso R., Doherty B.J., Crawford M.J., Heggeness M.H. Biomechanics of odontoid fracture fixation. Comparison of the one- and two-screw technique. Spine 1993, 18:1950-1953.
46. Jenkins J.D., Coric D., Branch C.L. A clinical comparison of one- and two-screw odontoid fixation. J Neurosurg 1998, 89:366-370.
47. Campanelli M., Kattner K.A., Stroink A., Gupta K., West S. Posterior C1-C2 transarticular screw fixation in the treatment of displaced type II odontoid fractures in the geriatric population-review of seven cases. Surg Neurol 1999, 51:596-600.
48. Dickman C.A., Sonntag V.K. Posterior C1-C2 transarticular screw fixation for atlantoaxial arthrodesis. Neurosurgery 1998, 43:275-280.
49. Melcher R.P., Puttlitz C.M., Kleinstueck F.S., et al. Biomechanical testing of posterior atlantoaxial fixation techniques. Spine 2002, 27:2435-2440.
50. Montesano P.X., Juach E.C., Anderson P.A., Benson D.R., Hanson P.B. Biomechanics of cervical spine internal fixation. Spine 1991, 16:S10-S16.
51. Lall R., Patel N.J., Resnick D.K. A review of complications associated with craniocervical fusion surgery. Neurosurgery 2010, 67:1396-1402.
52. Neo M., Fujibayashi S., Miyata M., Takemoto M., Nakamura T. Vertebral artery injury during cervical spine surgery: a survey of more than 5600 operations. Spine 2008, 33:779-785.
53. Wright N.M., Lauryssen C. Vertebral artery injury in C1-2 transarticular screw fixation: results of a survey of the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/Congress of Neurological Surgeons. J Neurosurg 1998, 88:634-640.
54. Ekong C.E., Schwartz M.L., Tator C.H., Rowed D.W., Edmonds V.E. Odontoid fracture: management with early mobilization using the halo device. Neurosurgery 1981, 9:631-637.
55. Mayer M., Zenner J., Auffarth A., et al. Efficacy of anterior odontoid screw fixation in the elderly patient: a CT-based biometrical analysis of odontoid fractures. Eur Spine J 2011, 20:1441-1449.