Versatility of Anterior Approach for Management of Odontoid Fractures

Background Data: Odontoid fractures comprise about 20 % of all cervical fractures. have been classified according to Anderson and D'Alonzo classification system. Anterior posterior approaches can manage odontoid fractures, various schools thought favor both approaches. This article highlights the versatility anterior approach treat varying types Indications for surgical management include age patient more than 55 years, displacement fracture fragment 4 mm, nonunion, disruption transverse atlantal ligament. The has 55% less trabecular bone body axis. is required callus formation healing; hence, nonunion type 2 common that 3 Purpose: To present different methods managing Study Design: A case report. Patients Methods: In report, we deployed three techniques using fixation fracture. Plate screw far effective as a non-weight-bearing structure, it compresses fragments better union. Results: cases, found good evidence radiographic healing in postoperative period with no significant immediate or delayed complications. Neck mobility was limited some extent placement transarticular screws but preserved completely other two patients. Conclusion: carry safe promising results achieving solid fusion, operative risk vital structures, preserving range motion. learning curve also shallow compared (2022ESJ262)