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Transoral Odontoidectomy

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abstract

A 32-years old male patient with an odontoid fracture and irreducible luxation causing ventral compression of the cord. Preoperative tracheotomy, Use of Kilner-Doughty mouth gag which keeps the tongue out of the operative field. Incision of the soft palate and posterior pharyngeal wall. Intraoperati...

ve fluoroscopical orientation. Odontoid resection. Closure by a two-layered interrupted technique with absorbable sutures. Posterior stabilization in a second session.

detailed information

reason, objective, purpose

Odontoid fracture with irreducible luxation causing ventral compression of the cord. Transoral dens resection with ventral neuraxial decompression. After this step a posterior fixation was performed in a second session.

materials used

not available

operation date

2006-12-01

publication info

not available

presentation info

not available