{"id":"55adfdb8-d44e-4803-bdae-e59f1163b7f2","slug":"concomitant-odontoid-and-cervicothoracic-junction-fractures-in-an-elderly-patient-a-rare-case-report","title":"Concomitant odontoid and cervicothoracic junction fractures in an elderly patient: A rare case report","authors":["Oualid Mohammed Hmamouche","Marouane Hammoud","Baderddine Mohammadine","Faycal Lakhdar","Mohammed Benzagmout","Khalid Chakour","Mohammed El Faiz Chaoui"],"abstract":"Background: Concomitant odontoid fractures associated with subaxial cervical lesions are extremely rare and present both diagnostic and therapeutic challenges. Case Description: A 70-year-old man presented after a high-energy car accident with severe posterior neck pain but no neurological deficit. Computed tomography imaging revealed a type II odontoid fracture and a C7–T1 fracture-dislocation. He underwent anterior odontoid screw fixation followed by anterior cervical discectomy and fusion at the same session. Postoperative recovery was uneventful, and follow-up imaging confirmed solid fusion at 6 months. Conclusion: This case highlights the feasibility and safety of single-session, all-anterior stabilization for concomitant upper and lower cervical fractures in a selected elderly patient, achieving solid fusion with minimal morbidity.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/55adfdb8-d44e-4803-bdae-e59f1163b7f2/featured/hero-1781558027932.png","publishDate":"2026-01-09T00:00:00.000Z","doi":"10.25259/SNI_1178_2025","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/55adfdb8-d44e-4803-bdae-e59f1163b7f2/pdf"}