{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:13:14Z","timestamp":1788509594328,"version":"build-2803163510"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Type II odontoid fractures with significant dens displacement are frequently treated with surgical fixation, most commonly through posterior cervical approaches. However, extensive posterior soft tissue injury may limit the feasibility of posterior fixation and require alternative anterior odontoid fixation.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 61-year-old male sustained a type IIA odontoid fracture with complete posterior dens displacement following an electrical burn injury and fall. Extensive burns involving the posterior neck\/back precluded posterior cervical fixation (i.e., high risk of infection and wound complications). Following manual reduction, a single anterior odontoid screw was placed for C1\/C2 stabilization. Postoperative imaging demonstrated appropriate screw positioning and restoration of the atlantoaxial alignment complex with preservation of transverse ligament integrity.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Anterior odontoid screw fixation provided effective C1-C2 stabilization in this 61-year-old male with a type II odontoid fracture where posterior fixation was contraindicated due to severe burns to the posterior cervical region.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_627_2026","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:28:12Z","timestamp":1788506892000},"page":"507","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Type II odontoid fracture with complete posterior dens displacement: Manual reduction and anterior screw fixation"],"prefix":"10.25259","volume":"17","author":[{"given":"Carlos Enrique","family":"Calder\u00f3n-Valero","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, School of Medicine, University of Puerto Rico - Medical Sciences Campus, San Juan, Puerto Rico, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itzell","family":"Niehoff-Rosa","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, School of Medicine, Universidad Central del Caribe, Bayamon, Puerto Rico, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar","family":"Carballo-Cuello","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Puerto Rico - Medical Sciences Campus, San Juan, Puerto Rico, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emil A.","family":"Pastrana-Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Puerto Rico - Medical Sciences Campus, San Juan, Puerto Rico, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"10.25259\/SNI_627_2026\/ref-1","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.2106\/00004623-197456080-00017","article-title":"Fractures of the odontoid process of the axis","volume":"56","author":"Anderson","year":"1974","journal-title":"J Bone Joint Surg Am"},{"key":"10.25259\/SNI_627_2026\/ref-2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3171\/2009.7.SPINE08589","article-title":"Anterior fixation of odontoid fractures in an elderly population","volume":"12","author":"Dailey","year":"2010","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_627_2026\/ref-3","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1227\/00006123-198801000-00010","article-title":"New subtype of acute odontoid fractures (type IIA)","volume":"22","author":"Hadley","year":"1988","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_627_2026\/ref-4","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1302\/0301-620X.81B3.0810472","article-title":"Fixation of odontoid fractures by an anterior screw","volume":"81","author":"Henry","year":"1999","journal-title":"J Bone Joint Surg Br"},{"key":"10.25259\/SNI_627_2026\/ref-5","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_627_2026\/ref-6","doi-asserted-by":"crossref","first-page":"366","DOI":"10.3171\/jns.1998.89.3.0366","article-title":"A clinical comparison of one-and two-screw odontoid fixation","volume":"89","author":"Jenkins","year":"1998","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_627_2026\/ref-7","doi-asserted-by":"crossref","first-page":"E11","DOI":"10.3171\/2015.1.FOCUS14781","article-title":"Surgical treatment of Type II odontoid fractures: Anterior odontoid screw fixation or posterior cervical instrumented fusion?","volume":"38","author":"Joaquim","year":"2015","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_627_2026\/ref-8","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/S0090-3019(98)00113-X","article-title":"Anterior screw fixation of odontoid fractures","volume":"51","author":"Morandi","year":"1999","journal-title":"Surg Neurol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/type-ii-odontoid-fracture-with-complete-posterior-dens-displacement-manual-reduction-and-anterior-screw-fixation\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/type-ii-odontoid-fracture-with-complete-posterior-dens-displacement-manual-reduction-and-anterior-screw-fixation\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:28:14Z","timestamp":1788506894000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/type-ii-odontoid-fracture-with-complete-posterior-dens-displacement-manual-reduction-and-anterior-screw-fixation\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,4]]},"references-count":8,"alternative-id":["10.25259\/SNI_627_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_627_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,4]]},"article-number":"507"}}