제 II형 치상돌기 골절에 대한 Mini-plate를 이용한 경구접근 공정술
A Surgical Experience of a Odontoid Type II Fracture by Transoral Approach and Internal Fixation with Screws and Mini-plate
소속 상세정보
한정훈
조용준/황장희/박용기/안명수
KMID : 0359819930220040604
Abstract
With chamnging mechanisms of inujury of injry, heightened clinical awareness, and better diagnostic technology. Odontoid fractures constitute 9~18% of cervical fractures in revent reports. The odontoid type II fracture is the most common axis
fracture
and it is also the most difficult to treat. Type II fractures with greater than 6mm dens dislocation have a higher incidence of nonunion with nonoperative therapy and should be offered early operative reduction with fusion.
Recently we have experiecned a young male patient with odontoid type II fracture. The degree of dens dislocation was 8mm. The fractured odontoid process was removed through transoral-transpharyngeal approach and bone fusion was performed with
iliac
bone. And the inserted bone was fixed with screwas and mini-plate for further stabilization. The operative result was good without any serious complications. The operation technique is detailed.
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