Combined fractures of the odontoid process and upper thoracic spine: Two case reports

Naohisa Miyakoshi, Yoichi Shimada, Hajime Murai, Tetsuya Suzuki, Eiji Itoi

Research output: Contribution to journalArticlepeer-review

Abstract

We describe two cases of combined fractures of the odontoid process and upper thoracic spine that have not been previously reported. The first patient, a 21-year-old man, sustained an odontoid process fracture with posterior displacement and a fracture-dislocation injury at T4/5 in a motor-cycle accident. The second patient, a 66-year-old woman, fell from a cliff and sustained an odontoid process fracture with posterior displacement and a bursting fracture at T3 and T4 with rotation. The first patient exhibited complete paraplegia below the T5 level of the spinal cord. The second patient escaped neurological deficit. Both underwent anterior screw fixation of the odontoid process and posterior fusion of the upper thoracic spine. In both cases the cervical spine seemed to be in hyperextension, and the upper thoracic spine experienced sudden flexion and rotation forces.

Original languageEnglish
Pages (from-to)423-427
Number of pages5
JournalJournal of Orthopaedic Science
Volume8
Issue number3
DOIs
Publication statusPublished - 2003 Jan 1
Externally publishedYes

Keywords

  • Fracture
  • Odontoid process
  • Thoracic spine

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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