Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research 6-tom 6-san (2025)
A NEW MINIMALLY INVASIVE METHOD FOR FIXATION OF UNSTABLE ODONTOID FRACTURES: INITIAL CLINICAL RESULTS AND TECHNICAL FEATURES.
Кузиев Ортикшер Илмиддинович, Исмоилова Муаззам Исроиловна, Хайдаров Азизжон Косимович
Annotaciya
The aim of the study was to evaluate the safety and effectiveness of minimally invasive percutaneous anterior single-screw fixation of the odontoid process in unstable C2 fractures. Data from 18 patients (14 men, 4 women) treated from September 2023 to April 2025 were analyzed. The procedure was performed under fluoroscopic guidance using a specialized 14-cm stainless steel needle (outer diameter 3.0 mm, inner channel 2.0 mm) as a sleeve for inserting a guide wire with a fine-threaded tip and a 6-mm dilator (access 3–4 mm). All procedures were completed successfully without complications. At 6 months follow-up, 16 patients (88.9%) achieved complete fracture union. Pain and neck mobility limitations were minimal. The method provides reliable stabilization, preserves atlantoaxial mobility, and enables accelerated rehabilitation.
перелом зубовидного отростка C2, миниинвазивная фиксация, передняя винтовая фиксация, одновинтовая фиксация, атлантоаксиальный сустав.C2 odontoid fracture, minimally invasive fixation, anterior screw fixation, single-screw fixation, atlantoaxial joint.C2 умуртқасининг тишсимон ўсиғи синиши, C2 умуртқаси тишсимон ўсиғини олдинги фиксацияси, vC2 тишсимон ўсиғи синиқларини перкутант фиксацияси.
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