{"id":"1379910e-3687-4c98-b7f1-e17e06f7ae86","slug":"chronic-hypertrophic-malunion-of-c2-fracture-causing-cervical-quadriparesis-case-report-and-focused-literature-review","title":"Chronic hypertrophic malunion of C2 Fracture causing cervical quadriparesis; Case report and focused literature review","authors":["Sanaullah Khan Bashir","Syeda Maheen Batool","Gohar Javed"],"abstract":"Background: Pseudarthrosis of Type II C2 odontoid fractures typically leads to displacement and subluxation resulting in canal compression/cervical myelopathy. Case Description: Here, we present a 43-year-old male who sustained cervical trauma 28 years ago. He now presented with an acute 10-day onset of quadriparesis attributed to a chronic malunion of an unstable type II odontoid fracture. He successfully underwent a circumferential decompression and fusion (e.g., warranting a trans-oral odontoidectomy followed by C1-C3 posterior fusion). Conclusion: Progressive cervical myelopathy attributed to a chronic malunion of a type II odontoid fracture may require circumferential decompression/stabilization (e.g., an anterior decompression with osteophyte resection and posterior C1-C3 spinal stabilization).","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/placeholders/specialty/spine.png","publishDate":"2019-06-19T00:00:00.000Z","doi":"10.25259/SNI-251-2019","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/1379910e-3687-4c98-b7f1-e17e06f7ae86/pdf"}