Article Title
Hyperflexion trauma in the posttraumatic nonunionodontoid process fracture: A case study
Abstract
Os odontoideum is a small round or oval corticated ossicle with a smooth corticalborder and no body union to the body of the axis. Posttraumatic injury of the cervical spine isone of the etiologies. We reported a 28-year-old man patient with os odontoideum presentedwith a trivial hyperflexion cervical trauma. He developed neurogenic shock and central cordsyndrome. This case supports the theory that previous trauma is the etiology of the abnormality.Surgical management alleviated his symptom. Occipitocervical fusion with C1 laminectomywas successfully achieved in this case. Odontoid nonunion is a potentially a serious situation.Patients can develop late neurological deficits if conservative treatment is undertaken.Considering prophylactic surgical stabilization in the asymptomatic patient may be relativelyindicated in younger patients with active lifestyles.
Publisher
Faculty of Medicine, Chulalongkorn University
First Page
317
Last Page
325
Recommended Citation
Chaichankul, C; Limthongkul, W; and Yingsakmongkol, W.
(2012)
"Hyperflexion trauma in the posttraumatic nonunionodontoid process fracture: A case study,"
Chulalongkorn Medical Journal: Vol. 56:
Iss.
3, Article 6.
Available at:
https://digital.car.chula.ac.th/clmjournal/vol56/iss3/6