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CASE REPORT
Year : 2015  |  Volume : 2  |  Issue : 1  |  Page : 27-29

Old and neglected odontoid fracture with C1-C2 dislocation: An approach


1 Dnb Resident (2nd Year), Department of Orthopedic, Chandulal Chandraker Hospital and Medical College, Bhilai, Chhattisgarh, India
2 Associate Professor, Department of Neurosurgery, Chandulal Chandrakar Hospital and Medical College, Bhilai, Chhattisgarh, India
3 Associate Professor, Department of Orthopedic, Chandulal Chandraker Hospital and Medical College, Bhilai, Chhattisgarh, India
4 DNB orthopedic Junior Resident, Department of Orthopedic, Chandulal Chandraker Hospital and Medical College, Bhilai, Chhattisgarh, India

Correspondence Address:
Ankit Arunbhai Desai
Dnb Resident (2nd Year), Department of Orthopedic, Chandulal, Chandraker Hospital and Medical College, Bhilai, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1051

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In Indian health setup with short of précised expertize, the nonunion with C1-C2 instability of odontoid fractures usually results from delayed diagnosis and its inappropriate treatment. Our patient had kyphotic deformities at the C1-C2 joint complex secondary to neglected odontoid fractures. Patient was asymptomatic for a long period of time before appearance of symptoms, neck pain and instability, despite being obvious subluxation and kyphotic deformities at C1-C2 joint complex. The reactive new bone formation around the odontoid fracture plays a chief role in preventing further movement and development of myelopathy or instability. However, the treatment options available for neglected odontoid fractures remain controversial. Patient was operated by us without posterior C1 decompression, occipital-to-C2 fusion and spinal instrumentation with two lateral mass screws.


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