Luque instrumentation for odontoid fracture in elderly patient: A case report.

概要

論文の詳細を見る
We reported the case of an elderly woman with odontoid fracture who received treatment of C1-C3 posterior fusion utilizing Luque instrumentation.The case was a 70-year-old woman who fell and struck her head at home, and complained of persistent neck pain and torticolis during past 2 months before initial diagnosis. Neurological examination was normal. She had a past history of cerebral infraction and senile dementia. Radiological studies showed an unstable odontoid fracture (Type II) with the atlas displaced 7mm anteriorly. Anatomical realignment was achieved and maintained with use of a Halo-brace. Posterior C1-C3 fusion utilizing Luque instrumentation was performed, and brief external fixation was applied after operation. On the last examination (10 months postoperatively), the patient was free from symptom, and the fusion appeared solid on a plain roentgenogram.
西日本整形・災害外科学会の論文