Table 4

Injury classification and management (N = 120).

Variable n (%)
Type of injury
 Isolated hangman’s fracture16 (13.3)
 Isolated odontoid fracture42 (35.0)
 Isolated C1 fracture11 (9.2)
 Combined C1-C2 fracture9 (7.5)
 Miscellaneous C2 fracture30 (25.0)
 Ligament injury8 (6.7)
 Odontoid fracture + hangman’s fracture4 (3.3)
Management
 C0-C3 posterior fusion3 (2.5)
 C0-C4 posterior fusion1 (0.8)
 C1-C2 posterior fusion30 (25.0)
 C1-C3 posterior fusion8 (6.7)
 C1-C4 posterior fusion2 (1.7)
 C2-C3 discectomy9 (7.5)
 C2-C3 posterior fusion1 (0.8)
 C2-C3 discectomy + C1-C3 posterior fusion3 (2.5)
 Conservative management44 (36.7)
 Occipital craniectomy + bullet removal1 (0.8)
 Transoral odontoidectomy + C0-C4 posterior fusion2 (1.7)
 Transoral odontoidectomy + C1-C2 posterior fusion1 (0.8)
 Odontoid screwing14 (11.7)
 Deatha 1 (0.8)
  • a One patient died due to hemodynamic instability before surgery.