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