Surgical Management of Remote, Isolated Type II Odontoid Fractures with Atlantoaxial Dislocation Causing Cervical Compressive Myelopathy

Abstract

The patients with RI IIO may be divided into five groups on the basis of their differing management protocols. There is a considerable risk of delayed myelopathy unless surgical reduction and stabilization are performed. Posterior stabilization is the preferred option in dealing with these fractures. Despite the presence of severe neurological deficits and the prolonged duration of symptoms, a significant neurological improvement usually occurs after surgery.