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Odontoid fracture (type II)

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Refers fall from height 7 months ago.

Patient Data

Age: 78
Gender: Male

CT Cx spine

ct

This is a type II odontoid fracture by classification of Anderson and D'Alonzo, corresponding to odontoid neck fracture. There isa anterior spondylolisthesis C2 in relation to C1.

Case Discussion

Type II odontoid fractures are usually unstable and prone to non-consolidation because they occur in areas of poor vascularization. 

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