Users' questions

When does a C2 odontoid fracture occur?

When does a C2 odontoid fracture occur?

A type II fracture (>60% of cases) is a fracture occurring at the base of the odontoid as it attaches to the body of C2 (see the image below). A type III fracture (30% of cases) occurs when the fracture line extends through the body of the axis.

Can a type I odontoid fracture be managed in a collar?

We believe that type I and type III odontoid fractures can be managed in a collar in most cases. Type II fractures with any additonal risk factors for nonunion (displacement, comminution, etc) should be considered for surgical management. However, the risks of surgery in an elderly population must be carefully considered on a case-by-case basis.

What are the different types of odontoid fractures?

Classification of Odontoid Fractures. They used the superior C2 facet as the demarcation between type II and type III fractures; any fracture through the odontoid base not involving the superior C2 facet was defined as a type II fracture, while a fracture extending into the facet was defined as type III (Figure 2 ).

How are odontoid Fractures managed in the elderly?

Despite their frequency, there is considerable ambiguity regarding optimal management strategies for these fractures in the elderly. Poor bone health and medical comorbidities contribute to increased surgical risk in this population; however, nonoperative management is associated with a risk of nonunion or fibrous union.

What is the prognosis of C2 fractures?

If a C2 fracture does not result in paralysis, the victim may experience pain or problems moving the head until the fracture completely heals. The prognosis for a C2 fracture is typically good if the fracture didn’t cause paralysis. if you or a loved one has had a C1 fracture , C2 fracture, or any spinal cord injury contact Gomez Trial Attorneys to determine your legal options.

What are the possible complications of C2 fracture treatment?

Complications of C2 fracture treatment include nonunion, malunion, pseudoarthrosis formation, infection, neurovascular injury, acute airway compromise, and hardware failure. The risks of nonunion, malunion, and pseudoarthrosis formation are lessened with surgical treatment. [ 22]

How are Type III C2 fractures treated?

Type III fractures are treated with halo immobilization, odontoid screw fixation, or C1-C2 arthrodesis. Deep, displaced, or angulated fractures are treated with closed reduction and halo thoracic immobilization. Uncomplicated shallow type III fractures are treated with odontoid screw fixation. Nonunion and malunion are potential complications.

How an injury to the odontoid process can be fatal?

Injuries to the Odontoid Process . A number of injuries can affect the dens, including trauma that pushes the top of the skull down, which may in result in the dens being pushed into the brain stem. This will likely cause death .