Variable | n (%) |
Type of injury | |
Isolated hangman’s fracture | 16 (13.3) |
Isolated odontoid fracture | 42 (35.0) |
Isolated C1 fracture | 11 (9.2) |
Combined C1-C2 fracture | 9 (7.5) |
Miscellaneous C2 fracture | 30 (25.0) |
Ligament injury | 8 (6.7) |
Odontoid fracture + hangman’s fracture | 4 (3.3) |
Management | |
C0-C3 posterior fusion | 3 (2.5) |
C0-C4 posterior fusion | 1 (0.8) |
C1-C2 posterior fusion | 30 (25.0) |
C1-C3 posterior fusion | 8 (6.7) |
C1-C4 posterior fusion | 2 (1.7) |
C2-C3 discectomy | 9 (7.5) |
C2-C3 posterior fusion | 1 (0.8) |
C2-C3 discectomy + C1-C3 posterior fusion | 3 (2.5) |
Conservative management | 44 (36.7) |
Occipital craniectomy + bullet removal | 1 (0.8) |
Transoral odontoidectomy + C0-C4 posterior fusion | 2 (1.7) |
Transoral odontoidectomy + C1-C2 posterior fusion | 1 (0.8) |
Odontoid screwing | 14 (11.7) |
Deatha | 1 (0.8) |
↵a One patient died due to hemodynamic instability before surgery.