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
Abstract
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. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Spinal Fractures and Fixation Techniques
Head and Neck Surgical Oncology
Cervical and Thoracic Myelopathy
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN