OPTIONS FOR SURGICAL TREATMENT OF CHRONIC C2 ODONTOID FRACTURES
https://doi.org/10.14531/ss2019.1.16-24
Abstract
The paper presents a review of three clinical cases of treating patients with chronic fractures of the odontoid process of C2 vertebra using various combinations of surgical techniques. In all cases, complete decompression of the spinal cord and stabilization of the upper cervical segment of the spine were achieved. A decrease in the range of motion in the cervical spine was observed, which did not affect patient satisfaction. A gradual regression of the neurological status and increase in muscle strength were recorded. Comparative analysis of the neurological status was carried out before and after surgical treatment. When assessing the general condition of patients using the index of disability due to pain in the neck (NDI), an improvement in the quality of life was noted. These data show the opportunities and peculiarities of methods for treating patients with chronic C2 odontoid fractures.
Type of publication: description of clinical cases. Evidence level: IV.
About the Authors
A. A. Kuleshov
N.N. Priorov National Medical Research Cent er of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Aleksandr Alekseyevich Kuleshov, DMSc, leading researcher, head of vertebrology department
Priorova str., 10, Moscow, 127299
A. N. Shkarubo
N.N. Burdenko National Scientific and Practical Center for Neurosurgery
Russian Federation
Aleksey Nikolayevich Shkarubo, DMSc, leading researcher, neurooncological department No. 8
Russian Federation
Aleksey Nikolayevich Shkarubo, DMSc, leading researcher, neurooncological department No. 8
N. A. Eskin
N.N. Priorov National Medical Research Cent er of Traumatology and Orthopaedics
Russian Federation
Nikolay Aleksandrovich Eskin, DMSc, Prof., Deputy Director for science
Russian Federation
Nikolay Aleksandrovich Eskin, DMSc, Prof., Deputy Director for science
M. S. Vetrile
N.N. Priorov National Medical Research Cent er of Traumatology and Orthopaedics
Russian Federation
Marchel Stepanovich Vetrile, MD, PhD, senior researcher of vertebrology department
Russian Federation
Marchel Stepanovich Vetrile, MD, PhD, senior researcher of vertebrology department
I. N. Lisyansky
N.N. Priorov National Medical Research Cent er of Traumatology and Orthopaedics
Russian Federation
Igor Nikolayevich Lisyansky, MD, PhD, physician of vertebrology department
Russian Federation
Igor Nikolayevich Lisyansky, MD, PhD, physician of vertebrology department
S. N. Makarov
N.N. Priorov National Medical Research Cent er of Traumatology and Orthopaedics
Russian Federation
Sergey Nikolayevich Makarov, MD, PhD, physician of vertebrology department
Russian Federation
Sergey Nikolayevich Makarov, MD, PhD, physician of vertebrology department
G. P. Ponomarenko
N.N. Priorov National Medical Research Cent er of Traumatology and Orthopaedics
Russian Federation
Georgy Petrovich Ponomarenko, postgraduate student, physician of vertebrology department
Russian Federation
Georgy Petrovich Ponomarenko, postgraduate student, physician of vertebrology department
I. V. Chernov
N.N. Burdenko National Scientific and Practical Center for Neurosurgery
Russian Federation
Ilya Valeryevich Chernov, postgraduate student, neurooncological department
Russian Federation
Ilya Valeryevich Chernov, postgraduate student, neurooncological department
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Review
For citations:
Kuleshov A.A., Shkarubo A.N., Eskin N.A., Vetrile M.S., Lisyansky I.N., Makarov S.N., Ponomarenko G.P., Chernov I.V. OPTIONS FOR SURGICAL TREATMENT OF CHRONIC C2 ODONTOID FRACTURES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2019;16(1):16-24. https://doi.org/10.14531/ss2019.1.16-24
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