Fig. 4From: The comparison of clinical outcome of fresh type II odontoid fracture treatment between anterior cannulated screws fixation and posterior instrumentation of C1-2 without fusion: a retrospective cohort studyA failure case of PIWF. a, b Preoperative X-rays: white arrows indicate the fracture line. c Preoperative CT scans: the fracture line (white arrow) is clear in sagittal plane and the extensive fusion (black arrow)of C3-7 confirms the diagnosis of diffuse idiopathic skeletal hyperostosis (DISH). d Preoperative CT scans: fracture of anterior arch of atlas (white arrow). e, f Postoperative X-rays immediately after operation demonstrate ideal fragment reduction after PIWF. g, h Postoperative CT scans 3Â years after operation shows the fracture failed to unite and the screws are looseBack to article page