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Journal of Craniovertebral Junction and Spine
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CASE REPORT
Year : 2018  |  Volume : 9  |  Issue : 4  |  Page : 277-279

Performing the screw fixation from C3 to odontoid process in a patient with Klippel-Feil syndrome and type II odontoid fracture


Department of Neurosurgery, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey

Correspondence Address:
Dr. Ulas Yuksel
Department of Neurosurgery, Faculty of Medicine, Kirikkale University, Yahsihan, 71450 Kirikkale
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcvjs.JCVJS_54_18

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A 56-year-old female patient was admitted with a history of pain during neck movements after cervical injury. Computerized tomography scan revealed type II odontoid fracture and fusion anomaly between C2 and C3 vertebrae. At surgery, the anteroinferior part of C2 vertebra corpus could not be reached; therefore, transodontoid screw was advanced from C3 vertebra toward odontoid process. At follow-up examination, the complaints of the patient had recovered, and fracture line was completely fused. Advancing screw from C3 to odontoid process via anterior cervical approach could be thought an alternative treatment option in the patient with short neck caused from vertebra fusion anomaly and/or obesity.


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