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A New Guide Tube for Odontoid Screw Fixation for Unstable Odontoid Fractures: Report of 6 Case Series.

A New Guide Tube for Odontoid Screw Fixation for Unstable Odontoid Fractures: Report of 6 Case Series.

Turk Neurosurg. 2013;23(5):639-644

Authors: Duransoy YK, Mete M, Zileli M, Selcuki M

Abstract
AIM: We describe a modified form of traditional open surgery with a new guide tube. This guide tube permits anterior screwing of odontoid in a shorter time with a more simple technique as compared to traditional open surgery, endoscopic and percutaneous surgeries. MATERIAL and METHODS: Our series includes 6 patients who were operated for unstable odontoid fracture. We used a new guide tube for anterior odontoid screw fixation. This guide tube was designed by the first author to facilitate the insertion of the K-wire for placement of a cannulated lag screw.
RESULTS: Successful placement of the odontoid screws and immediate spinal stabilization were achieved in all patients. Solid fusion was observed during follow-up time in all patients.
CONCLUSION: This screw insertion technique for odontoid screw fixation provides a minimally invasive, safe and easy surgery in contrast to other surgical approaches.

PMID: 24101312 [PubMed – as supplied by publisher]

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