![]() ![]() Elderly patients can develop odontoid fractures after minor trauma with hyperextension. ![]() ![]() II, is the commonest injury in the upper cervical spine. Interpretation of where the fracture line occurs in the dens. Background: Odontoid fractures are the most common type of axis injury. Introduction: Fracture of the odontoid and particularly type. If there are contraindications to a CT scan or IV contrast, then an MRI can be done to provide more definitive 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.233 patients (female 51, age 72☑9 years) were treated. Usually line up with respect to the margins of C2 (axis). C2 fractures were classified into odontoid fractures types 1, 2, and 3, Hangman’s fractures types 1, 2, and 3, and atypical C2 fractures. 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. Type III odontoid fractures rarely cause neurologic deficit 3 however, type III odontoid fractures make up 20 of C1-2 combination injuries and suggest. 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: The non-surgical treatments include: Minerva cast, halo cast, prolonged cranial traction with cranial halo or similar device, orthoses and cervical collars.11. ![]()
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