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Journal of Korean Neurosurgical Society 1996;25(9): 1890-1895.
Delayed Nonunion of a Type II Odontoid Fracture, after Apparent Bony Fusion: Case Report.
Eui Jung Kim, Weon Gyu Choi, Hyeong Geun Joo, Chang Won Cho, Sung Moon Yoon
Department of Neurosurgery, Dong Gang Hospital, Ulsan, Korea.
ABSTRACT
We managed a 27-year-old woman, who suffered from a type II odontoid fracture, with a halo-vest. After 12 weeks, we confirmed bony fusion on cervical spine CT and managed her with a neck collar. During the OPD follow up, we checked the cervical spine film every 1 month. After two and half months, displaced odontoid process was noted on routine cervical film, and a bony gap was found at the previous fracture wite on cervical spine CT. There is only one report in the literlature describing a nonunion after radiographically confirmed healing of a type II odontoid fracture. We report this case in order to emphasize the importance of scheduled follow up examination and evaluate precipitating factors of delayed nonunion of odontoid fracture.
Key Words: Delayed nonunion; Type II odontoid fracture
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