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Symptomatic anomalies and arthrotic formations of the axis vertebrae in eastern Anatolian people. A local investigation.

At the craniocervical junction, developmental anomalies of the axis may produce clinical symptoms by compressing the upper cervical cord during movements of the head and neck. The present study aimed at investigating several varieties and deformities of the axis on skeletal specimens of Eastern Anatolian origin. On 76 specimens, developmental anomalies and the variants of the second vertebrae (axis) were investigated. Hypoplasia of the dens axis in one specimen, the dens axis of a child with a bifid apex in another specimen and an arthrotic formation located on the apex of the dens in six axes were found. A bone protrusion narrowing the transverse foramen was also observed. The types of absence of the dens axis and clinical symptoms that may be caused by them are discussed. It was concluded that the frequency of arthrotic formations might reflect the possibility that the individuals suffered less commonly from neck pain due to arthrotic degeneration.

Axis, Cervical Vertebra↗

Simultaneous anterior arthrodesis C2-3 and anterior odontoid screw fixation for stabilization of a 4-part fracture of the axis--a technical description.

Multiple fractures of the axis are rare and present challenging patterns of instability in cervical spine surgery. Once a surgeon is faced with a combination of fractures in the axis vertebra, including stable and unstable components, a sound treatment concept must be worked out to achieve primary stability, early mobilization, and superior outcome. We demonstrate an operative technique for the stabilization of a 4-part fracture of the axis. Utilizing anterior odontoid screw fixation and C2-3 arthrodesis, an unstable traumatic spondylolisthesis with fracture of the odontoid type IIA, and lateral mass of C2 was successfully stabilized at once. The technique enabled early postoperative mobilization of our patient, who, after 1 year, showed a favorable outcome with a pain-free range of motion. The basic thoughts guiding to treatment options in multiple fractures of the axis are discussed and our therapy concept is presented.

Adult↗