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V060: ENDOSCOPIC ENDONASAL TRANS-ODONTOID RESECTION OF ANTERIOR C2 PANUS SECONDARY TO CHRONIC ODONTOID TYPE II FRACTURE WITH ACUTE EXACERBATION OF SPINAL CORD COMPRESSION: TECHNICAL NUANCES
Mehdi Khaleghi, MD; Brandon Kaye, MD; Asa Barnett; Tessa Allen; Garrett Dyess; Ursula Hummel, PA; Marc Manix, MD; Richard Menger, MD; Jai D Thakur, MD; University of South Alabama Neurosurgery Department

Technical considerations of an endoscopic endonasal odontoidectomy in a neglected type-II odontoid fracture with panus formation and acute exacerbation of the spinal cord compression, are depicted. Complete removal of the odontoid process and compressive panus led to adequate spinal cord ventral decompression. The rational for this procedure was the favorability of the nasoaxial line. Maximal maxillary crest drilling allows for better visualization of the odontoid process base. The procedure was followed by posterior craniocervical fixation.

 

 

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