A new guide tube for odontoid screw fixation for unstable odontoid fractures: Report of 6 case series

DURANSOY Y. K., METE M., Zileli M., Selcuki M.

Turkish Neurosurgery, vol.23, no.5, pp.639-644, 2013 (SCI-Expanded, Scopus, TRDizin) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 5
  • Publication Date: 2013
  • Doi Number: 10.5137/1019-5149.jtn.7914-13.0
  • Journal Name: Turkish Neurosurgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.639-644
  • Keywords: Odontoid fracture, New guide tube, Odontoid Screw fixation
  • Manisa Celal Bayar University Affiliated: Yes

Abstract

Aim: We describe a modified form of traditional open surgery with a new guide tube. This guide tube permits anterior screwing of odontoid in a shorter time with a more simple technique as compared to traditional open surgery, endoscopic and percutaneous surgeries. MATERIAL and METHODS: Our series includes 6 patients who were operated for unstable odontoid fracture. We used a new guide tube for anterior odontoid screw fixation. This guide tube was designed by the first author to facilitate the insertion of the K-wire for placement of a cannulated lag screw. RESULTS: Successful placement of the odontoid screws and immediate spinal stabilization were achieved in all patients. Solid fusion was observed during follow-up time in all patients. CONCLUSION: This screw insertion technique for odontoid screw fixation provides a minimally invasive, safe and easy surgery in contrast to other surgical approaches.