Introduction: Representing up to 15% of cervical injuries, odontoid type II\nfractures may cause spinal cord compression through atlanto-axial instability.\nAnterior screw fixation provides direct fracture site stability, high fusion rate\nand most importantly keeping cervical spine move free. We will highlight\nsuccess keys in early experience for better outcome. Methods: We operated\nten cases with traumatic type II odontoid fractures in neurotrauma unit,\nCairo University hospitals from March 2015 till June 2017. Six males and\nfour females were included. Preoperative MRI and dynamic CT were among\nthe assessment criteria. Uni-planner fluoroscopy was used. Results: No\npost-operative deficit appeared. One screw was inserted in all cases. Immediate\nand 6 weeks later CT cervical spine showed stable reduced fracture site.\nConclusions: Anterior odontoid screw fixation done with prior good selection\nof the patient and fracture shape is an effective motion preserving surgical\noption for type II odontoid fractures. Limited resources shouldnâ??t prevent\nstarting experience especially in developing countries, but larger studies are\nneeded.
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