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Case Reports
. 1997 Jul;87(1):96-9.
doi: 10.3171/jns.1997.87.1.0096.

Triple anterior screw fixation of an acute combination atlas-axis fracture. Case report

P J Apostolides  1 , N Theodore, D G Karahalios, V K Sonntag
Affiliations
Case Reports

Triple anterior screw fixation of an acute combination atlas-axis fracture. Case report

P J Apostolides et al. J Neurosurg. 1997 Jul.

Abstract

The authors report the successful treatment of an acute combination atlas-axis fracture in an 85-year-old man using anterior odontoid and C1-2 transarticular facet screw fixation and a Philadelphia collar. Treatment with halo brace immobilization failed, and the patient experienced recurrent episodes of oxygen desaturation when placed partially prone for chest physiotherapy. If a posterior approach is not feasible, an anterior odontoid and C1-2 transarticular facet screw fixation can be considered as a salvage procedure for patients with acute combination atlas-axis fractures.

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