Treatment of C2 body fracture with unusual distractive and rotational components resulting in gross instability

被引:3
|
作者
Lau, Darryl [1 ]
Shin, Samuel S. [2 ]
Patel, Rakesh [3 ]
Park, Paul [1 ]
机构
[1] Univ Michigan, Dept Neurosurg, 1500 E Med Ctr Dr,Room 3552 TC, Ann Arbor, MI 48109 USA
[2] Univ Pittsburgh, Dept Neurol Surg, Pittsburgh, PA 15213 USA
[3] Univ Michigan, Dept Orthoped Surg, Ann Arbor, MI 48109 USA
来源
WORLD JOURNAL OF ORTHOPEDICS | 2013年 / 4卷 / 04期
关键词
C2; Distractive; Odontoid fracture; Rotational; Spine; Type; Unstable;
D O I
10.5312/wjo.v4.i4.323
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Cervical fractures can result in severe neurological compromise and even death. One of the most commonly injured segments is the C2 vertebrae, which most frequently involves the odontoid process. In this report, we present the unusual case of a 28-year-old female who sustained a C2 vertebral body fracture (comminuted transverse fracture through the body and both transverse processes) that had both a significant distractive and rotational component, causing the fracture to be highly unstable. Application of halo bracing was unsuccessful. The patient subsequently required a C1-C4 posterior spinal fusion. Follow-up computer tomography imaging confirmed fusion and the patient did well clinically thereafter. (C) 2013 Baishideng. All rights reserved.
引用
收藏
页码:323 / 326
页数:4
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