Treatment Algorithm for Dens Fractures: Non-Halo Immobilization, Anterior Screw Fixation, or Posterior

Transarticular C1-C2 Fixation

by Markus R. Konieczny, Arnold Gstrein, and Ernst J. Müller

J Bone Joint Surg AmVolume 94(19):e144

October 3, 2012

©2012 by The Journal of Bone and Joint Surgery, Inc.

A seventy-eight-year-old woman sustained a stable fracture of the dens in a fall from an upright position and was treated nonoperatively.

Markus R. Konieczny et al. J Bone Joint Surg Am 2012;94:e144

©2012 by The Journal of Bone and Joint Surgery, Inc.

A thirty-eight-year-old man sustained an unstable fracture in a bicycle accident and was treated with direct anterior screw fixation.

Markus R. Konieczny et al. J Bone Joint Surg Am 2012;94:e144

©2012 by The Journal of Bone and Joint Surgery, Inc.

An eighty-nine-year-old woman sustained an unstable fracture of the dens in a fall and was treated with transarticular screw fixation with a modified Gallie fusion35.

Markus R. Konieczny et al. J Bone Joint Surg Am 2012;94:e144

©2012 by The Journal of Bone and Joint Surgery, Inc.