Odontoid fracture (Anderson/D'Alonzo type II)

Case contributed by Dr Sajoscha Sorrentino

Presentation

Poor old lady fell in a very unfortunate way.

Patient Data

Age: 90
Gender: Female

Odontoid fracture

Odontoid fracture

Odontoid fracture

CT trauma scan confirmed what you can already see on plain film: odontoid fracture (Anderson/D'Alonzo type II). MRI shows also injury of the myelon.

Control CT scan after installation of a halo vest shows even further dislocation of the dens.

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