![]() Careful attention to the technical aspects of the procedure and selection of patients are essential for good outcome. Single odontoid screw fixation is useful and safe procedure in surgical treatment of odontoid fractures type II. Solid fusion was achieved in all cases except in one patient (8.3%) (fibrous union). There were 5 cases (41.7%) with transient dysphagia. During our period of follow-up, VAS and neck disability index were improved in all cases. All cases operated for anterior single odontoid screw fixation. ![]() All patients had acute traumatic odontoid fracture type II, oblique fractures in 10 (83.3%) cases, and transverse fractures in 2 (16.7%) cases. The study included 12 patients, four of them (33.3%) were females, and 8 (66.7%) were males with a mean age of 41.7 ± 11.4 years. Preoperative MRI cervical spine was done in all cases. Plain radiography and CT cervical spine were done in all cases preoperatively and during our period of follow-up (6 months). The visual analogue scale (VAS) and neck disability index (NDI) were used to evaluate the functional outcome among our patients. Twelve patients with acute traumatic odontoid fracture type II were surgically treated by anterior single odontoid screw fixation. ![]() Study designĪ retrospective clinical case series. To evaluate the role of single odontoid screw fixation in surgical treatment of odontoid fracture type II. Anterior odontoid screw fixation has many advantages with low incidence of surgical complications. Odontoid fractures are the most common cervical fractures specially type II.
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