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Posterior Acrylic Surgical Fixation of Odontoid Fractures

  • Conference paper
Proceedings of the 8th European Congress of Neurosurgery, Barcelona, September 6–11, 1987

Part of the book series: Acta Neurochirurgica ((NEUROCHIRURGICA,volume 43))

  • 77 Accesses

Summary

Fourteen cases of odontoid fractures had, as primary treatment, a posterior surgical fixation (C 1 + C 2 + C 3 and occiput in some cases) by means of acrylate and stainless steel wires, without waiting for the unpredictable final results of external systems of stabilization. The youngest patient was 20 years old, the oldest 84 years old. No immediate or late neurological complications occurred (follow-up: one year to ten years). All the patients were mobilized early without external fixation. Union of the dens took place in eleven cases, and good stabilization in the remainder. Thirteen patients recovered, one improved. Posterior acrylic fixation is the treatment of choice in cases of odontoid fracture, particularly in elderly patients in whom a solid union rarely is obtained.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Osp. “Le Scotte”, I-53100, Siena, Italy

    D. Gambacorta M.D.

  2. Department of Neurosurgery, Ospedale “Le Scotte”, Siena, Italy

    F. Reale

Authors
  1. D. Gambacorta M.D.
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  2. F. Reale
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Editor information

Editors and Affiliations

  1. Servicio de Neurocirugía, Hospital de Bellvitze, University of Barcelona, Barcelona, Spain

    Fabian Isamat

  2. Newport, Dyfed, UK

    Antony Jefferson

  3. Neurochirurgische Universitätsklinik, Homburg/Saar, Federal Republic of Germany

    Friedrich Loew

  4. Department of Neurological Surgery, Institute of Neurology, The National Hospital, London, UK

    Lindsay Symon TD, FRCS

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© 1988 Springer-Verlag

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Gambacorta, D., Reale, F. (1988). Posterior Acrylic Surgical Fixation of Odontoid Fractures. In: Isamat, F., Jefferson, A., Loew, F., Symon, L. (eds) Proceedings of the 8th European Congress of Neurosurgery, Barcelona, September 6–11, 1987. Acta Neurochirurgica, vol 43. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8978-8_17

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  • DOI: https://doi.org/10.1007/978-3-7091-8978-8_17

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-8980-1

  • Online ISBN: 978-3-7091-8978-8

  • eBook Packages: Springer Book Archive

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