Open AccessPerforming the screw fixation from C3 to odontoid process in a patient with Klippel-Feil syndrome and type II odontoid fracture
Author(s) -
Mustafa Öğden,
Ulaş Yüksel,
İbrahim Akkurt,
Bülent Bakar
Publication year - 2018
Publication title -
journal of craniovertebral junction and spine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 23
eISSN - 0976-9285
pISSN - 0974-8237
DOI - 10.4103/jcvjs.jcvjs_54_18
Subject(s) - medicine , klippel–feil syndrome , odontoid process , neck pain , vertebra , spinous process , surgery , fixation (population genetics) , cervical vertebrae , cervical spine , population , alternative medicine , environmental health , pathology
A 56-year-old female patient was admitted with a history of pain during neck movements after cervical injury. Computerized tomography scan revealed type II odontoid fracture and fusion anomaly between C2 and C3 vertebrae. At surgery, the anteroinferior part of C2 vertebra corpus could not be reached; therefore, transodontoid screw was advanced from C3 vertebra toward odontoid process. At follow-up examination, the complaints of the patient had recovered, and fracture line was completely fused. Advancing screw from C3 to odontoid process via anterior cervical approach could be thought an alternative treatment option in the patient with short neck caused from vertebra fusion anomaly and/or obesity.