![]() Interpretation of where the fracture line occurs in the dens. If there are contraindications to a CT scan or IV contrast, then an MRI can be done to provide more definitive A type 2A fracture is minimally displaced and is treated with external immobilisation. CT & MRI Scans: If there are neurologic deficits present or the mechanism of injury isĬoncerning, then a CT scan of the head and neck along with a CT angiogram of the neck to evaluate for vertebral artery injuries or spasm. There is a subdivision of type 2 fractures.Usually line up with respect to the margins of C2 (axis). Spaces between the dens (located on C2 and projecting up) and the lateral Open mouth odontoid view couldn't be obtained due to external fixation and position lim. The normal lordosis of the cervical spine is reversed. ![]() Observational multicenter study was conducted on a prospectively built database on elderly patients (> 75 years) with Type II odontoid fracture managed conservatively. External immobilization is the treatment of choice for Type I and III there is still no wide consensus about the best management of Type II fractures. In general radiographs (such as the odontoid view) would be reserved for younger patients, who are not unstable, do not need more advanced imaging (such as a CT or MRI) in the same anatomical areas for evaluation of other injuries. There is a transverse fracture in the base of the odontoid process with extension into the body of the C2 vertebra that displaced posteroinferiorly. Type I fractures occur very rarely and type II is the most common Type I: avulsion fracture of the apex. Odontoid fractures constitute the most common cervical fractures in elderly. Presence of other traumatic injuries or neurologic deficits.When assessing for the presence of a dens fracture, the choice of initial imaging is influenced by the: BACKGROUND CONTEXT: The surgical fixation rate of type II odontoid fracture (OFx) in the elderly (65 years) is much lower than expected if the.
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