Anterior Odontoid Screw Fixation for Type 2 Odontoid Fracture in Pediatric Patient: An Attempt to Preserve Neck Movements of the Child

ABSTRACT: Anterior odontoid screw fixation is a simple and safe surgical technique. It is performed routinely for adult patients, resulting in an abundance of literature on the subject. On the other hand, the use of an anterior odontoid screw in pediatric patients for the management of type 2 odontoid fractures is scarcely reported. Although the surgical strategy is the same as in adult patients, it is essential to be aware of a few distinct perioperative nuances in pediatric patients. These nuances have been highlighted. In order to prevent irreversible loss of head rotatory motion for pediatric type II odontoid fractures, anterior screw fixation should be attempted whenever feasible. This provides adequate fixation while maintaining the range of cervical rotatory motion.