Headless fully threaded screw (headless screw) versus headed partially threaded screw (headed screw) fixation techniques for odontoid fracture type II- A Case Series

Volume 4 | Issue 2 | July – Dec 2019  | Kanniah Thuraikumar, Kwong-Lee Wan, Sze Wei Lim


Authors : Kanniah Thuraikumar [1], Kwong-Lee Wan [1], Sze Wei Lim [1]

[1] Department of Orthopaedics surgeon, Sungai Buloh Hospital, Jalan
Hospital, 47000 Sungai Buloh, Selangor, Malaysia.

Address of Correspondence
Dr. Kwong-Lee Wan,
Department of Orthopaedics surgeon, Sungai Buloh Hospital, Jalan
Hospital, 47000 Sungai Buloh, Selangor, Malaysia
Email: wankwonglee@yahoo.com


Abstract

Odontoid type II fracture is managed with various methods from non-operative such as Halo-vest to operative such as via anterior or posterior approaches and fixation. Posterior fixation of C1-C2 reduces the rotational range of motion significantly. Anterior odontoid fixation is typically done with screws. We present a case series of anterior odontoid screw fixation comparing three cases of headed partially threaded screw (headed screw) to two cases of headless fully threaded screw (headless screw). The headless screw had the advantages of able to be embedded which reduced the risk of prominent hardware and allowed further advancement for more compression effect. The headless screw has better biomechanical strength compared to a headed screw.
Keywords: Anterior odontoid fixation, Odontoid screw, Headless screw


How to Cite this Article:  Thuraikumar K, Wan K-L, Lim S W. | Headless fully threaded screw (headless screw) versus headed partially threaded screw (headed screw) fixation techniques for odontoid fracture type II- A Case Series | . International Journal of Spin | July-Dec 2019; 4(2):


 


(Abstract) (Full Text HTML)      (Download PDF)