caa a22 4500 445835087 CHVBK 20180317145328.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s00586-011-1860-0 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1860-0 Anterior single screw fixation of odontoid fracture with intraoperative iso-C 3-dimensional imaging [Elektronische Daten] [Yong Yang, Bai Fu, Rachel Li, Paul Smith, Wei Mu, Lian Li, Dong Zhou] Purpose: The purpose of this study was to assess the value of isocentric C-arm three-dimensional (Iso-C 3D) fluoroscopy for the insertion of an anterior odontoid screw. The results of the Iso-C 3D group were compared with that of an historic control group using conventional fluoroscopy. Methods: Twenty-nine patients diagnosed with type II or rostral-type III odontoid fractures were treated with a single anterior screw fixation in this study. The Iso-C 3D group included 13 patients and the other 16 patients were in the historic control group. All operations were performed by a single surgeon using standard procedure and manner. The clinical and radiographic results were recorded and compared between the two groups. Results: The fluoroscopy time in the Iso-C 3D group was 42.9s as compared to 68.1s in the control group (P<0.01). The mean operative time was 91.5min in the Iso-C 3D group when compared with 81.6min in the control group (P=0.20). The rate of bony fusion was 96.6% (28/29), the failure rate of reduction or fixation was 13.8% (7.7% in Iso-C 3D group; 18.8% in control group). The Smiley-Webster scale showed that 90% of patients achieved good or better outcomes Conclusions: In conclusion, this technique can be safely extended to the treatment of technically difficult to treat spinal injuries and at the same time reduce total radiation exposure time both for the patient and the surgeon. Springer-Verlag, 2011 Odontoid fracture nationallicence Anterior screw fixation nationallicence Isocentric C-arm fluoroscopy nationallicence Three-dimensional fluoroscopy nationallicence Yang Yong Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut Fu Bai Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut Li Rachel Medical School, The Australian National University, 2601, Canberra, ACT, Australia aut Smith Paul Medical School, The Australian National University, 2601, Canberra, ACT, Australia aut Mu Wei Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut Li Lian Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut Zhou Dong Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut European Spine Journal Springer-Verlag 20/11(2011-11-01), 1899-1907 0940-6719 20:11<1899 2011 20 586 https://doi.org/10.1007/s00586-011-1860-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1860-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yang Yong Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut NATIONALLICENCE 700 1- Fu Bai Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut NATIONALLICENCE 700 1- Li Rachel Medical School, The Australian National University, 2601, Canberra, ACT, Australia aut NATIONALLICENCE 700 1- Smith Paul Medical School, The Australian National University, 2601, Canberra, ACT, Australia aut NATIONALLICENCE 700 1- Mu Wei Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut NATIONALLICENCE 700 1- Li Lian Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut NATIONALLICENCE 700 1- Zhou Dong Department of Orthopaedics, Shandong Provincial Hospital Affiliated To Shandong University, 324 Jing Wu Road, 250021, Jinan, People's Republic of China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/11(2011-11-01), 1899-1907 0940-6719 20:11<1899 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer