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Management of Massively Displaced Type II Odontoid Fracture in an Obese Patient in a Resource-Challenged Facility: A Case Report of an Anterior Screw Osteosynthesis Technique

Year: 2025

Type: article

Abstract: The surgical management of a 22-year-old obese patient with a massively displaced type II odontoid fracture through anterior osteosynthesis (using a cannulated titanium screw of size 4.0 mm by 35 mm) in a resource-challenged facility is reported. The fracture was transverse at the waist of the dens with huge anterior-lateral displacement and overlapping. This fracture was unique in term of its displacement and overlapping nature of the fragment from routinely seen cases. The management was also challenged with the patient's obesity, lack of a Mayfield device, and a nonadjustable operating table. The patient underwent the surgery and gradually and satisfactorily improved with full pre-injury functional status.

Source: Journal of the West African College of Surgeons

DOI: 10.4103/jwas.jwas_90_24

Authors: Lukman Olalekan Ajiboye, Chukwuebuka Kingsley Okezie, Muhammad Abdullahi

Institutions: Usmanu Danfodiyo University Teaching Hospital, Sokoto, Usmanu Danfodiyo University

Language: English

Topic: Spinal Fractures and Fixation Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4409205363

FWCI:

Cites: 20

Cited by:

Related to: 10