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《Journal of Spinal Surgery》 2015-03
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Anterior single-screw fixation of AndersonⅡ odontoid fractures

SONG Yong-jin;Department of Orthopaedics,Jinhua People's Hospital;  
Objective To analyze the clinical curative effect of anterior single-screw fixation in the treatment of AndersonⅡ odontoid fractures. Methods From March 2005 to Auguest 2011,9 patients of Anderson Ⅱodontoid fractures without spinal cord injury underwent anterior single-screw fixation. All patients with an average age of 34. 5( 27-55) years were underwent traction reduction and CT check before operation,and followed up for 8-12 weeks by immobilization with brace after operation. The fracture healing and head-neck rotation was observed by roentgenograph and CT scan. Results With a mean of 10 months follow-up( ranged 6-18 months),all cases achieved bony fusion at 6 months after operation,including 1 case with screw broken up. Conclusion Anterior single-screw fixation has the advantage of simple manipulation,satisfactory stability supplement,a relatively low complication rate,a high fusion rate and good functional recovery. Anterior single-screw fixation is an effective method for the treatment of AndersonⅡ odontoid fractures.
【CateGory Index】: R687.3
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