C1-C2 posterior cervical fusion: long term evaluation of results and efficacy. Interpretation of where the fracture line occurs in the dens. The most prevalent type of odontoid fracture was Type II (55) followed by. If there are contraindications to a CT scan or IV contrast, then an MRI can be done to provide more definitive These fractures extend into the vertebral body and are relatively stable unless severely displaced.1,2. Results: The clinical and radiographic outcomes of the treatment of Hangman’s fractures lend a good. Many of the stable extension type I and II fractures can be treated with external immobilization, whereas the predominant flexion type IIa and III fractures require surgical stabilization. CT & MRI Scans: If there are neurologic deficits present or the mechanism of injury isĬoncerning, then a CT scan of the head and neck along with a CT angiogram of the neck to evaluate for vertebral artery injuries or spasm. racture pattern of the C2 vertebrae following odontoid fractures.Usually line up with respect to the margins of C2 (axis). The optimal treatment of type II and III odontoid fractures in the elderly: a systematic review - PMC Journal List Eur Spine J v. Spaces between the dens (located on C2 and projecting up) and the lateral In general radiographs (such as the odontoid view) would be reserved for younger patients, who are not unstable, do not need more advanced imaging (such as a CT or MRI) in the same anatomical areas for evaluation of other injuries. Presence of other traumatic injuries or neurologic deficits.When assessing for the presence of a dens fracture, the choice of initial imaging is influenced by the:
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