Case number | Age | Sex | Clinical Presentation | Radiological findings | Clinical and Radiological Outcome | ||||
Duration | Cause of fracture | Symptoms | Signs | ||||||
Neurological Deficits | Others | ||||||||
1 | 13 years | Male | 2 years | Falling from height | Chronic neck pain, limited neck movement | No | Limited neck movement | Fracture odontoid Type II with atlanto-axial subluxation and No evidence of myelomalacia. | Improved neck pain Good alignment and fusion, No implant failure |
2 | 30 ys | Female | 2 years | Road Traffic Accident with suspected hyperextension injury | Cervical pain, Progressive heaviness of 4 limbs | Weakness of 4 limbs of pyramidal distribution Grade 3/5 with hyperreflexia and +ve Babiniski sign bilateral | Limited neck movement | Fracture odontoid Type II with upper cord compression and associated myelomalacia | Improved neck pain with stationary course of weakness Good alignment and fusion, No implant failure |
3 | 45 ys | Male | 1 year | Pathological due to Rheumatoid Arthritis | Neck pain and progressive heaviness of 4 limbs | Weakness of 4 limbs of pyramidal distribution Grade 4/5 with hyperreflexia and +ve Babiniski sign bilateral | Limited neck movement | Fracture odontoid Type II with upper cord compression and associated myelomalacia. There was mild Rheumatoid pannus. Cord compression was mainly due to atlanto-axial subluxation rather than Rheumatoid pannus. | Improved neck pain with stationary course of weakness Fair alignment and fusion but with loosening of screws at follow up radiology at 12 months. |
4 | 27 ys | Male | 2.5 years | Falling from height | Neck pain and tilt of the neck to Rt side | No | Torticollis | Fracture odontoid Type II with No cord compression | Improved neck pain and torticollis Good alignment and fusion, No implant failure |
5 | 51 ys | Male | 3 years | Road Traffic Accident | Neck pain and tilt of the neck to Lt side with spino-thalamic pain | Hypoesthesia of 4 limbs | Torticollis | Fracture odontoid Type II with upper cord compression with No evidence of myelomalacia | Improved neck pain, torticollis, spinothalamic pain and hyposthesia Good alignment and fusion, No implant failure |