{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:26:18Z","timestamp":1787757978639,"version":"build-2784847793"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Type II odontoid fractures need surgical stabilization for disabling neck pain and instability. Anterior odontoid screw fixation is a well-known technique. However, certain patients require posterior fixation. We present our surgical results and experiences with nine cases managed by the Goel-Harms technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This is a retrospective review of nine patients operated on between January 2019 and December 2021 for Type II odontoid fractures with posterior fixation technique. Their clinical profile was collected from case files. The radiological data were retrieved from radiology archives. The indications for surgery were instability and refractory neck pain. The surgical decision for posterior fixation was guided by fracture morphology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age of presentation was 37.22 \u00b1 9.85 years. Seven patients had Type II, and two had Type IIa odontoid fracture. All patients presented with unbearable neck pain. One patient had a quadriparesis. The fracture line was anterior-inferior sloping in six, posterior-inferior sloping in two, and transverse in one case. The anterior-posterior displacement of fracture ranged from 0 to 7 mm (mean 2.44 \u00b1 2.18 mm). Partial transverse ligament tear without the Atlanto Axial Dislocation was present in three patients. The C1-C2 joint distraction was required in five cases. C1-C2 joint spacer was required in two cases. Following surgery, neck pain was relieved in all cases. Complete fracture alignment was achieved in eight patients. There were no postoperative complications. At the mean follow-up of 16.22 \u00b1 9.61 months, there was no implant failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Posterior C1-C2 fixation by the Goel-Harms technique is an excellent alternative to anterior fixation in selected cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_22_22","type":"journal-article","created":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T07:14:30Z","timestamp":1655104470000},"page":"175-181","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["An experience with Goel-Harms C1-C2 fixation for type II odontoid fractures"],"prefix":"10.4103","volume":"13","author":[{"given":"Amit Kumar","family":"Jain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Tawari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lavlesh","family":"Rathore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debabrata","family":"Sahana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harshit","family":"Mishra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv Kumar","family":"Sahu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20240904","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s41984-019-0031-1","article-title":"Surgical outcome of type II odontoid fracture, Harms technique","volume":"34","author":"Saro","year":"2019","journal-title":"Egypt J Neurosurg"},{"key":"R2-12-20240904","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":"R3-12-20240904","first-page":"CD005078","article-title":"Surgical versus conservative management for odontoid fractures","volume":"4","author":"Shears","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"R4-12-20240904","doi-asserted-by":"crossref","first-page":"651","DOI":"10.3171\/2009.7.SPINE0991","article-title":"Operative versus nonoperative management of acute odontoid Type II fractures: A meta-analysis","volume":"11","author":"Nourbakhsh","year":"2009","journal-title":"J Neurosurg Spine"},{"key":"R6-12-20240904","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/BF01400872","article-title":"Plate and screw fixation for atlanto-axial subluxation","volume":"129","author":"Goel","year":"1994","journal-title":"Acta Neurochir"},{"key":"R7-12-20240904","doi-asserted-by":"crossref","first-page":"2467","DOI":"10.1097\/00007632-200111150-00014","article-title":"Posterior C1-C2 fusion with polyaxial screw and rod fixation","volume":"26","author":"Harms","year":"2001","journal-title":"Spine (Phila Pa 1976"},{"key":"R8-12-20240904","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/j.wneu.2017.08.192","article-title":"Atlantoaxial fixation for odontoid fracture: Analysis of 124 surgically treated cases","volume":"110","author":"Goel","year":"2018","journal-title":"World Neurosurg"},{"key":"R9-12-20240904","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/ort.1979.50.suppl-177.01","article-title":"Fracture of the odontoid process. 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