Management of Combination Fractures of the Atlas and Axis in Adults.

Academic Article


  • STANDARDS: There is insufficient evidence to support treatment standards. GUIDELINES: There is insufficient evidence to support treatment guidelines. OPTIONS: Treatment of atlas-axis combination fractures based primarily on the specific characteristics of the axis fracture is recommended. External immobilization of most C1-C2 combination fractures is recommended. C1-Type II odontoid combination fractures with an atlantodens interval of 5 mm or more and C1-hangman's combination fractures with C2-C3 angulation of 11 degrees or more should be considered for surgical stabilization and fusion. In some cases, the surgical technique must be modified as a result of loss of the integrity of the ring of the atlas.
  • Published In

  • Neurosurgery  Journal
  • Digital Object Identifier (doi)

    Author List

  • Hadley MN; Walters BC; Grabb PA; Oyesiku NM; Przybylski GJ; Resnick DK; Ryken TC
  • Start Page

  • S140
  • End Page

  • S147
  • Volume

  • 50
  • Issue

  • suppl_3