Surgical Management of Odontoid Fracture in Elderly

  • Muhammad Nadeem Shifa International Hospital and Shifa College of Medicine, Islamabad, Pakistan.
  • Muhammad Jawad Noon Shifa College of Medicine, Islamabad, Pakistan.
  • Rana Muhammad Omar Daraz Khan Shifa College of Medicine, Islamabad, Pakistan.
  • Inayatullah Khan Shifa International Hospital and Shifa College of Medicine, Islamabad, Pakistan.

Abstract

Odontoid type II fractures are associated with high mortality in the elderly. Their management can be done either conservatively or surgically, however, surgical treatment is technically demanding and relatively new.

We report a case of 75 years old man who presented to our clinical setting, following a history of fall. The CT scan and MRI showed odontoid type II fracture. With time, the neurological deficit got marked and he underwent transoral odontoidectomy and occipitocervical fixation using rods and screws via posterior approach. Patient’s neurological condition improved dramatically and on the short term follow up, he had no motor deficit. Our experience suggests that occipitocervical fixation via posterior approach is a viable option for the management of odontoid type II fracture in the geriatric population.

Author Biographies

Muhammad Nadeem, Shifa International Hospital and Shifa College of Medicine, Islamabad, Pakistan.
Consultant Neurosurgeon and Assistant Professor of Neurosurgery, Shifa International Hospital and Shifa College of Medicine, Islamabad, Pakistan.
Muhammad Jawad Noon, Shifa College of Medicine, Islamabad, Pakistan.
Medical student, Shifa College of Medicine, Islamabad, Pakistan.
Rana Muhammad Omar Daraz Khan, Shifa College of Medicine, Islamabad, Pakistan.
Medical student, Shifa College of Medicine, Islamabad, Pakistan.
Inayatullah Khan, Shifa International Hospital and Shifa College of Medicine, Islamabad, Pakistan.
Consultant Neurosurgeon and Professor of Neurosurgery, Shifa International Hospital and Shifa College of Medicine, Islamabad, Pakistan.

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Published
2014-03-31
How to Cite
Nadeem, M., Noon, M. J., Daraz Khan, R. M. O., & Khan, I. (2014). Surgical Management of Odontoid Fracture in Elderly. Journal of Nepal Medical Association, 52(193), 732-734. https://doi.org/10.31729/jnma.1665
Section
Case Reports