Atlanto-Axial Deformity Secondary to a Neglected Odontoid Fracture: A Report of Six Cases
We reviewed 6 patients with atlanto-axial (C1–2) deformities secondary to neglected odontoid fractures. All patients (except one with recent injury) were asymptomatic for a long period before development of neck pain or myelopathy, despite obvious subluxation and kyphotic deformities at the C1–2 joi...
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Online Access: | https://doi.org/10.1177/230949901001800220 |
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doaj-af8a11d6709f4ec3aa800b17b22d12f22020-11-25T03:27:18ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902010-08-011810.1177/230949901001800220Atlanto-Axial Deformity Secondary to a Neglected Odontoid Fracture: A Report of Six CasesAngela Wing-Hang HoYuen-Fong HoWe reviewed 6 patients with atlanto-axial (C1–2) deformities secondary to neglected odontoid fractures. All patients (except one with recent injury) were asymptomatic for a long period before development of neck pain or myelopathy, despite obvious subluxation and kyphotic deformities at the C1–2 joint complex. Patients were treated conservatively, except for one who underwent posterior spinal fusion and occiput-to-C2 decompression for progressive myelopathy. The reactive new bone formation around the odontoid fracture may play a role in preventing further movement and development of myelopathy. Conservative treatment should be considered for neglected odontoid fractures in elderly patients with stable non-progressive C1–2 deformity.https://doi.org/10.1177/230949901001800220 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Angela Wing-Hang Ho Yuen-Fong Ho |
spellingShingle |
Angela Wing-Hang Ho Yuen-Fong Ho Atlanto-Axial Deformity Secondary to a Neglected Odontoid Fracture: A Report of Six Cases Journal of Orthopaedic Surgery |
author_facet |
Angela Wing-Hang Ho Yuen-Fong Ho |
author_sort |
Angela Wing-Hang Ho |
title |
Atlanto-Axial Deformity Secondary to a Neglected Odontoid Fracture: A Report of Six Cases |
title_short |
Atlanto-Axial Deformity Secondary to a Neglected Odontoid Fracture: A Report of Six Cases |
title_full |
Atlanto-Axial Deformity Secondary to a Neglected Odontoid Fracture: A Report of Six Cases |
title_fullStr |
Atlanto-Axial Deformity Secondary to a Neglected Odontoid Fracture: A Report of Six Cases |
title_full_unstemmed |
Atlanto-Axial Deformity Secondary to a Neglected Odontoid Fracture: A Report of Six Cases |
title_sort |
atlanto-axial deformity secondary to a neglected odontoid fracture: a report of six cases |
publisher |
SAGE Publishing |
series |
Journal of Orthopaedic Surgery |
issn |
2309-4990 |
publishDate |
2010-08-01 |
description |
We reviewed 6 patients with atlanto-axial (C1–2) deformities secondary to neglected odontoid fractures. All patients (except one with recent injury) were asymptomatic for a long period before development of neck pain or myelopathy, despite obvious subluxation and kyphotic deformities at the C1–2 joint complex. Patients were treated conservatively, except for one who underwent posterior spinal fusion and occiput-to-C2 decompression for progressive myelopathy. The reactive new bone formation around the odontoid fracture may play a role in preventing further movement and development of myelopathy. Conservative treatment should be considered for neglected odontoid fractures in elderly patients with stable non-progressive C1–2 deformity. |
url |
https://doi.org/10.1177/230949901001800220 |
work_keys_str_mv |
AT angelawinghangho atlantoaxialdeformitysecondarytoaneglectedodontoidfractureareportofsixcases AT yuenfongho atlantoaxialdeformitysecondarytoaneglectedodontoidfractureareportofsixcases |
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