- Department of Neurosurgery, Jawahar Lal Nehru Medical College, Aligarh, Uttar Pradesh, India.
- Department of Neurosurgery, Uttar Pradesh University of Medical Sciences, Etawah, Uttar Pradesh, India.
Ahmed Ansari, Department of Neurosurgery, Jawahar Lal Nehru Medical College, Aligarh, Uttar Pradesh, India.
DOI:10.25259/SNI_633_2021Copyright: © 2021 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Ansari A1, Sharma RM1, Prajapati HP2, Khan MT1, Huda MF1. Determination of ideal patient candidacy for anterior odontoid screw fixation. Surg Neurol Int 09-Aug-2021;12:395
How to cite this URL: Ansari A1, Sharma RM1, Prajapati HP2, Khan MT1, Huda MF1. Determination of ideal patient candidacy for anterior odontoid screw fixation. Surg Neurol Int 09-Aug-2021;12:395. Available from: https://surgicalneurologyint.com/surgicalint-articles/11033/
We read with great interest the article by Fiani et al.[
We have observed that fracture stabilization and healing are the foremost problems in elderly patients. Of course, anterior odontoid screw fixation (AOSF) is the preferred option for young individuals, as it maintains neck mobilization in this age group. Anterior displacement or neutral position of the fractured segment is again an important positive determinant in choosing AOSF. We prefer intraoperative traction in extension position, with a finger place inside mouth to push the anteriorly displaced segment backwards, or push the spinous process of C2 with palm to move the posteriorly directed fractured segment forward for easy negotiation of odontoid screw. All-in-all, a solid posterior fixation should be considered for patients with a failed AOSF.