International Journal of Surgery & Surgical Procedures Volume 3 (2018), Article ID 3:IJSSP-130, 4 pages
Original Reports
Management of Type II Odontoid Fractures OBAV: About A Series of 5 Cases and Literature Review

Noukhoum Koné1*, Aderehim Haidara2, Marialaura Giamundo3 and Angelo Rusconi4

1Department of neurosurgery, Kiffa Hospital Center, Mailbox 4509 Kiffa, Mauritania
2Department of Neurosurgery, University Hospital Center of Bouaké, 01 Mailbox 1174 Bouaké Ivory Coast
3Neurocenter of Italian Switzerland, Civic Hospital of Lugano, Via Tesserete 46; 6900 Lugano, Switzerland
4Department of Orthopedics, Spinal Surgery, Cantonal Hospital, Residential School Road 2; 1700 Friborg, Switzerland
Dr. Noukhoum Koné, Department of neurosurgery, Kiffa Hospital Center, Mailbox 4509 Kiffa, Mauritania, Tel: (00222) 34084244; E-mail:
02 December 2017; 13 February 2018; 15 February 2018
Koné N, Haidara A, Giamundo M, Rusconi A (2018) Management of Type II Odontoid Fractures OBAV: About A Series of 5 Cases and Literature Review. Int J Surg Surgical Porced 3: 130.


  1. Ersmark H, Lowenhielm P (1988) Factors influencing the outcome of cervical spine injuries. J Trauma 28: 407-410. View
  2. Fujii E, Kobayashi K, Hirabayashi K (1988) Treatment in fractures of the odontoid process. Spine (Phila Pa 1976) 13: 604-609. View
  3. Husby J, Sorensen KH (1974) Fractures of the odontoid process of the axis. Acta Orthop Scand 45: 182-192. View
  4. Anderson LD, D’Alonzo RT (1974) Fractures of the odontoid process of the axis. J Bone Joint Surg Am 56: 1663-1674. View
  5. Clark CR, White AA (1985) Fractures of the dens. A multicenter study. J Bone Joint Surg Am 67: 1340-1348. View
  6. Mouradian WH, Fietti VG Jr, Cochran GV, Fielding JW, Young J, et al. (1978) Fractures of the odontoid: a laboratory and clinical study of mechanisms. Orthop Clin North Am 9: 985-1001. View
  7. Hadley MN, Walters BC, Grabb PA, Oyesiku NM, Przybylski GJ, et al. (2002) Isolated fractures of the axis in adults. Neurosurgery 50: S125-S139. View
  8. Goel A, Laheri V (1994) Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 129: 47-53. View
  9. Harms J, Melcher RP (2001) Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine (Phila Pa 1976) 26: 2467-2471. View
  10. Reis MT, Nottmeier EW, Reyes PM, Baek S, Crawford NR (2012) Biomechanical analysis of a novel hook-screw technique for C1–2 stabilization J Neurosurg Spine 17: 220-226. View
  11. Majercik S, Tashjian RZ, Biffl WL, Harrington DT, Cioffi WG (2005) Halo vest immobilization in the elderly: a death sentence? J Trauma 59: 350- 358. View
  12. Koivikko MP, Kiuru MJ, Koskinen SK, Myllynen P, Santavirta S, et al. (2004) Factors associated with nonunion in conservatively- treated type-II fractures of the odontoid process. J Bone Joint Surg Br 86: 1146-1151. View
  13. Traynelis VC (1997) Evidence-based management of type II odontoid fractures. Clin Neurosurg 44: 41-49. View
  14. Przybylski GJ (2000) Introduction to odontoid fractures: controversies in the management of odontoid fractures Neurosurg Focus 8 (6): Introduction, 2000. View
  15. Greene KA, Dickman CA, Marciano FF, Drabier JB, Hadley MN, et al (1997) Acute axis fractures. Analysis of management and outcome in 340 consecutive cases. Spine (Phila Pa 1976) 22: 1843-1852. View
  16. Hadley MN, Dickman CA, Browner CM, Sonntag VK (1989) Acute axis fractures: a review of 229 cases. J Neurosurg 71: 642-647. View
  17. Althoff B (1979) Fracture of the odontoid process. A clinical and radiographic study. Acta Orthop Scand Suppl 177: 1-95. View
  18. Ehara S, el-Khoury GY, Clark CR (1992) Radiologic evaluation of dens fracture. Role of plain radiography and tomography. Spine (Phila Pa 1976) 17: 475-479. View
  19. Fielding JW, Cochran Gv, Lawsing JF 3rd, Hohl M (1974) Tears of the transverse ligament of the atlas: a clinical and biomechanical study. J Bone Joint Surg Am 56: 1683-1691. View
  20. Spence KF Jr, Decker S, sell KW (1970) Bursting atlantal fracture associated with rupture of the transverse ligament. J Bone Joint Surg Am 52: 543-49. View
  21. Robinson Y, Robinson AL, Olerud C (2014) Systematic review on surgical and nonsurgical treatment of type II odontoid fractures in the elderly. Biomed Res Int 2014: 231948. View
  22. Aebi M, Etter C, Coscia M (1989) Fractures of the odontoid process. Treatment with anterior screw fixation. Spine (Phila Pa 1976) 14: 1065- 1070. View
  23. Gluf WM, Schmidt MH, Apfelbaum RI (2005) Atlantoaxial transarticular screw fixation: a review of surgical indications, fusion rate, complications, and lessons learned in 191 adult patients. J Neurosurg Spine 2: 155-163. View
  24. Aryan HE, Newman CB, Nottmeier EW, Acosta FL Jr, Wang VY, et al. (2008) Stabilization of the atlantoaxial complex via C-1 lateral mass and C-2 pedicle screw fixation in a multicenter clinical experience in 102 patients: modification of the Harms and Goel techniques. J Neurosurg Spine 8: 222-229. View
  25. Maciejczak A, Wolan-Nieroda A, ska-Sudoł K (2015) Comparison of fusion rates between rod-based laminar claw hook and posterior cervical screw constructs in Type II odontoid fractures Injury. Int J Care Injured 46: 1304- 1310. View
  26. Fagerström T, Hedlund R, Bancel P, Robert R, Dupas B (2001) Laminar hook instrumentation in the cervical spine. An experimental study on the relation of hooks to the spinal cord. Eur Spine J 10: 340-344. View
  27. Winter RB (1997) Neurologic safety in spinal deformity surgery. Spine (Phila Pa 1976) 22: 1527-1533. View
  28. Sen MK, Steffen T, Beckman L, Tsantrizos A, Reindl R, et al. (2005) Atlantoaxial fusion using anterior transarticular screw fixation of C1-C2: technical innovation and biomechanical study. Eur Spine J 14: 512-518. View
  29. Bertand G (1982) Anomalies of the craniovertebral junction. In: youmans JR (ed) Neurological surgery: a comprehensive reference guide to the diagnosis and and management of neurosurgical problems. 2nd Ed, vol 3. Saunders, Philadelphia, p1496.