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Service d'aide à la décision clinique

Volume 59, n° 4-5
pages 191-194 (août 2013)
Doi : 10.1016/j.neuchi.2013.04.010
Received : 12 February 2013 ;  accepted : 28 April 2013
Metastatic odontoid fracture management by anterior screw fixation and kyphoplasty
Fracture pathologique de l’odontoïde : prise en charge mini-invasive par visage antérieur et cyphoplastie

Fig. 1

Fig. 1 : 

Preoperative coronal (a) and sagittal (b) CT-scan reconstructions showing the lytic lesion of C2 dens, with no significant displacement.

Reconstructions tomodensitométriques coronale (a) et sagittale (b) mettant en évidence la lésion ostéolytique de l’odontoïde sans déplacement significatif.

Fig. 2

Fig. 2 : 

No metastatic spinal cord compression was visible on the initial MRI (T1-weighted sagittal reconstruction).

Reconstruction sagittale IRM préopératoire (séquence pondérée en T1) ne mettant en évidence aucune compression neurologique.

Fig. 3

Fig. 3 : 

Peroperative alternative anteroposterior (a) and lateral (b) fluoroscopic guidance during balloon kyphoplasty procedure.

Contrôle peropératoire de face (a) et de profil (b) lors de la réalisation de la cyphoplastie par ballonnets.

Fig. 4

Fig. 4 : 

Six months postoperative sagittal reconstruction CT-scan showing good positioning of the implant, and healing of the fracture. A minimal posterior cement leakage is also visible.

Reconstruction tomodensitométrique sagittal à 6 mois postopératoires montrant le bon positionnement des implants et la consolidation de la fracture. Une fuite postérieure minime de ciment est également visible.

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