{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T10:28:49Z","timestamp":1778322529716,"version":"3.51.4"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Type 2 odontoid fractures are the most common type of fracture of the axis. In rare cases, nonunion of a type 2 odontoid fracture can be hypertrophic resulting in myelopathy due to cervical cord compression.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 48-year-old male presented with hypertrophic nonunion of a chronic type 2 odontoid fracture resulting in cord compression\/myelopathy. This was adequately treated utilizing a C1 decompression and C1-3 instrumented fusion; no anterior procedure was necessary.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Here, we successfully treated a patient with a hypertrophic nonunion of a chronic type 2 odontoid fracture utilizing a posterior only approach consisting of a C1 laminectomy with C1-C3 fusion.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_173_2020","type":"journal-article","created":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T08:59:27Z","timestamp":1590829167000},"page":"132","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A case of cervical myelopathy following chronic hypertrophic non-union type 2 odontoid fracture managed with posterior C1 decompression and C1-3 instrumentation: Case report and brief review of literature"],"prefix":"10.25259","volume":"11","author":[{"given":"Ahmed Taha Elsayed","family":"Shaaban","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery, Hamad General Hospital, Hamad Medical Corporation, Doha,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Doomi","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Hamad General Hospital, Hamad Medical Corporation, Doha,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirajeddin","family":"Belkheir","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Hamad General Hospital, Hamad Medical Corporation, Doha,"},{"name":"Departments of Neurosurgery, Weill Cornell Medical College, Ar-Rayyan, Qatar,"},{"name":"Departments of Neurosurgery, Michigan State University, Michigan, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,5,30]]},"reference":[{"key":"10.25259\/SNI_173_2020\/ref-1","doi-asserted-by":"crossref","first-page":"107","DOI":"10.25259\/SNI-251-2019","article-title":"Chronic hypertrophic malunion of C2 fracture causing cervical quadriparesis; Case report and focused literature review","volume":"10","author":"Bashir","year":"2019","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_173_2020\/ref-2","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/BSD.0000000000000872","article-title":"Odontoid fractures: A critical review of current management and future directions","volume":"32","author":"Carvalho","year":"2019","journal-title":"Clin Spine Surg"},{"key":"10.25259\/SNI_173_2020\/ref-3","doi-asserted-by":"crossref","first-page":"579","DOI":"10.3171\/jns.1993.78.4.0579","article-title":"Progressive myelopathy secondary to odontoid fractures: Clinical, radiological, and surgical features","volume":"78","author":"Crockard","year":"1993","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_173_2020\/ref-4","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1097\/BRS.0000000000000417","article-title":"Incidence and cost of treating axis fractures in the United States from 2000 to 2010","volume":"39","author":"Daniels","year":"2014","journal-title":"Spine"},{"key":"10.25259\/SNI_173_2020\/ref-5","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1177\/230949901001800220","article-title":"Atlanto-axial deformity secondary to a neglected odontoid fracture: A report of six cases","volume":"18","author":"Ho","year":"2010","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"10.25259\/SNI_173_2020\/ref-6","doi-asserted-by":"crossref","first-page":"383","DOI":"10.5435\/00124635-201007000-00001","article-title":"Odontoid fractures: Update on management","volume":"18","author":"Hsu","year":"2010","journal-title":"J Am Acad Orthop Surg"},{"key":"10.25259\/SNI_173_2020\/ref-7","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1093\/neuros\/nyx546","article-title":"Management of odontoid fractures in the elderly: A review of the literature and an evidence-based treatment algorithm","volume":"82","author":"Iyer","year":"2018","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_173_2020\/ref-8","doi-asserted-by":"crossref","first-page":"231948","DOI":"10.1155\/2014\/231948","article-title":"Systematic review on surgical and nonsurgical treatment of Type II odontoid fractures in the elderly","volume":"2014","author":"Robinson","year":"2014","journal-title":"Biomed Res Int"},{"key":"10.25259\/SNI_173_2020\/ref-9","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.4103\/2152-7806.174883","article-title":"Chronic hypertrophic nonunion of the Type II odontoid fracture causing cervical myelopathy: Case report and review of literature","volume":"7","author":"Shamji","year":"2016","journal-title":"Surg Neurol Int"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-case-of-cervical-myelopathy-following-chronic-hypertrophic-non-union-type-2-odontoid-fracture-managed-with-posterior-c1-decompression-and-c1-3-instrumentation-case-report-and-brief-review-of-litera\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-cervical-myelopathy-following-chronic-hypertrophic-non-union-type-2-odontoid-fracture-managed-with-posterior-c1-decompression-and-c1-3-instrumentation-case-report-and-brief-review-of-litera\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T08:59:30Z","timestamp":1590829170000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-cervical-myelopathy-following-chronic-hypertrophic-non-union-type-2-odontoid-fracture-managed-with-posterior-c1-decompression-and-c1-3-instrumentation-case-report-and-brief-review-of-litera\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,30]]},"references-count":9,"alternative-id":["10.25259\/SNI_173_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_173_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,30]]},"article-number":"132"}}