Table 1 Thirty-seven odontoid fractures undergoing surgical fixation
From: Outcomes of surgery for unstable odontoid fractures combined with instability of adjacent segments
Cases | Sex | Age | Type of odontoid fractures | Combined injuries | Injury mechanism | Pre-nerve injury | Time to surgery (d) | Surgery method | Time of surgery (min) | Graft fusion time (mon) | Fracture healing time (mon) | Complication | Post-nerve injury | Pre-JOA | Post-JOA | Recovery rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | M | 45 | II | Atlantoaxial dislocation | Traffic accidents | C | 1 | Anterior screw fixation + posterior atlantoaxial screw fixation | 120 | - | 3 | No | D | 6 | 15 | 81.8 |
2 | M | 48 | II | Atlantoaxial dislocation | Traffic accidents | D | 2 | Anterior screw fixation + posterior atlantoaxial screw fixation | 150 | - | 3 | No | E | 8 | 14 | 66.7 |
3 | M | 52 | Shallow III | Atlantoaxial subluxation | Falling from a height | C | 4 | Anterior screw fixation + posterior atlantoaxial screw fixation | 160 | - | 4 | No | D | 5 | 9 | 33.3 |
4 | F | 65 | II | Atlantoaxial subluxation | Traffic accidents | D | 3 | Posterior atlantoaxial screw fixation | 110 | - | 6 | No | E | 8 | 15 | 77.8 |
5 | F | 60 | II | Atlantoaxial subluxation | Traffic accidents | C | 3 | Posterior atlantoaxial screw fixation | 100 | - | 6 | No | E | 7 | 12 | 50 |
6 | M | 27 | II | Atlas fracture | Falling from a height | D | 2 | Occipital cervical fusion | 120 | - | 4.5 | Leakage of cerebrospinal fluid | E | 10 | 15 | 71.4 |
7 | M | 38 | Shallow III | Hangman fracture | Traffic accident | B | 3 | Anterior cervical CAGE and plate fixation | 80 | 3 | 3 | No | B | 3 | 4 | 7.1 |
8 | F | 42 | Shallow III | C3 fracture | Traffic accidents | D | 3 | Posterior C2, C3 fixation | 90 | 6 | 9 | Fat liquefaction | E | 8 | 13 | 55.6 |
9 | M | 53 | II | C2-3 disc injury | Falling from a height | D | 4 | Anterior cervical CAGE and plate fixation | 100 | 4.5 | 4.5 | No | E | 9 | 13 | 50 |
10 | M | 60 | II | C2-3 disc injury | Traffic accidents | D | 3 | Anterior cervical CAGE and plate fixation | 90 | 6 | 6 | No | E | 9 | 15 | 75 |
11 | F | 32 | II | Atlantoaxial dislocation + C2-3 disc injury | Falling from a height | B | 3 | C1-C3 fixation | 130 | 6 | 6 | Leakage of cerebrospinal fluid | C | 2 | 5 | 20 |
12 | F | 21 | II | Atlas fracture + C2/3 dislocation | Traffic accidents | A | 7 | Anterior and posterior surgery | 150 | 6 | 6 | Leakage of cerebrospinal fluid | B | 0 | 3 | 17.6 |