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Odontoid fracture

Case contributed by Garth Kruger
Diagnosis certain

Presentation

Chronic neck pain. MVA 9 years before.

Patient Data

Age: Adult
Gender: Male
x-ray

Chronic multilevel disc degenerative change of the midcervical spine. The craniocervical junction is abnormal.

Case Discussion

The patient has a displaced odontoid fracture, presumably related to a single trauma incident 9 years before. Note the displacement of the anterior and posterior spinal lines. Patient made an uneventful recovery from internal fixation, the neck pain nevertheless persisted. 

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