11 - Treatment of Multiple Complicated Axis Fracture by Limited Internal Fi...

#11 Treatment of Multiple Complicated Axis Fracture by Limited Internal Fixation

Spinal Trauma and Infections

Poster Presented by: X. Cai


X. Cai (1)
F. Xu (1)
Z. Chen (1)
H. Kang (1)
P. Xia (1)
Y. Huang (1)

(1) Wuhan General Hospital, Department of Orthopaedics, Wuhan, China


Objective: To explore the possibility to preserve supper cervical mobilization function in the treatment of multiple axis fractures for the trend to fix C1-3.

Method: There are 9 cases in this group including 1 case of axis vertebral fracture with odontoid fracture, 2 cases of axis vertebral fracture with hangman fracture, 6 cases of axis vertebral fractures combined odontoid and hangman fractures. All cases were treated with the limited internal fixation including odontoid fracture cannulated screw fixation and C2-3 discectomy, interbody fusion and anterior locking titanium plate fixation.

Results: There are no death, laryngeal nerve or spinal cord injury in 9 cases and all patients were followed up for 9 months-6 years. All cases wore a neck circumference in postoperative three months. Cervical flexion and extension lateral radiographs showed the bone fusion, cervical sequence, cervical stability are quite well and no loosening, extrusion or fracture, and no vertebral artery injury, nerve injury, cerebrospinal fluid leakage or wound infection and other complications. One case recovered from neurological injury. The neck rotation and flexion and extension functions of these 9 cases are normal.

Conclusion: For the multiple complicated axis fracture, limited internal fixation is one of the most effective and reliable methods to fix the fracture which can preserve the maximum mobilization function of upper hind neck.

Keywords: Axis, fracture, limited, fracture fixation, internal