February 27, 2015
Researchers investigated the effectiveness of using internal screw fixation via the C1 and C2 pedicle in cases of old odontoid fractures and found the method provided an effective and safe surgical approach.
The researchers retrospectively reviewed data for 21 patients with old odontoid fractures (13 men and 8 women; mean age, 46.5 years) who underwent internal screw fixation via the C1 and C2 pedicle. Prior to surgery, all patients underwent radiographic cervical anteroposterior examination with open mouth, lateral and hyperextension views. The researchers also used VAS scores for neck pain and cervical spinal cord functional Japanese Orthopaedic Association (JOA) score to evaluate the treatment’s effectiveness.