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Treatment of type II odontoid fracture in the elderly.
Hamilton, Preci; Lawrence, Peyton; Eisenring, Christian Valentin.
Afiliação
  • Hamilton P; Division of Neurosurgery, Department of Surgery, Radiology, Anaesthesia and Intensive Care, University Hospital of the West Indies, University of the West Indies, Kingston, Jamaica.
  • Lawrence P; Division of Neurosurgery, Department of Surgery, Radiology, Anaesthesia and Intensive Care, University Hospital of the West Indies, University of the West Indies, Kingston, Jamaica.
  • Eisenring CV; Department of Neurosurgery, Hirslanden Hospital, Zurich, Switzerland.
J Surg Case Rep ; 2020(8): rjaa235, 2020 Aug.
Article em En | MEDLINE | ID: mdl-32874537
Odontoid fractures constitute the commonest cervical spinal fracture in the elderly. There are varied management approaches with paucity of robust evidence to guide decision-making. We review the case of a 92-years-old man with traumatic Grauer type II B odontoid fracture treated with anterior cannulated screw fixation. Postoperatively, he was noted to have dysphagia due to a zenker's diverticulum. Further history revealed repair of a zenker's diverticulum ~40 years prior. Cervical spine images and video fluoroscopy demonstrated a recurrent zenker's diverticulum. After re-excision of the recurrent zenker's diverticulum his dysphagia resolved. This unique case describes dysphagia due to recurrent zenker's diverticulum presenting after anterior cannulated screw fixation for type II B odontoid fracture. The dysphagia was diagnosed and treated in close collaboration with speech and language therapists and otorhinolaryngologist. This underscores the importance of holistic approach to the elderly patient with odontoid fractures.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: J Surg Case Rep Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Jamaica País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: J Surg Case Rep Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Jamaica País de publicação: Reino Unido