Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 4 Issue 12

Huge Teardrop Fracture of the Axis: Literature Review and Case Report

Juan Pablo Santelices1, Rodrigo Donoso2*, Daniel Palma3, Marcos Ganga1,4 and Cristián Santos1,5

1Spine Surgeon, Equipo de Cirugía de Columna, Clínica Santa María, Santiago, Chile
2Orthopedic Surgeon, Spine surgery fellow, Universidad de Chile, Chile
3Orthopedic Surgery Resident, Universidad de Chile, Chile
4Associate Professor, Universidad de Chile, Orthopedic Surgery Program, Spine Surgery Division, Chile
5Spine Surgeon, Spine Surgery Chief, Equipo de Cirugía de Columna, Clínica Santa María, Santiago, Chile

*Corresponding Author: Rodrigo Donoso, Orthopedic Surgeon, Spine surgery fellow, Universidad de Chile, Chile.

Received: September 20, 2021; Published: November 10, 2021


Huge teardrop fracture of the axis is an uncommon injury, mainly caused by high energy trauma. Despite of being described for the first time in 1956, the evidence is still scarce.

Purpose: To review the literature, analyze and discuss the treatment options and its results for this type of fracture. We present a clinical case of huge teardrop fracture of the axis.

Methods: Literature review between 1956 and 2020, discussion of the treatment options and results. Description of the treatment method and results in our mentioned clinical case.

Results: We present a patient with a huge teardrop fracture of the axis due to high energy trauma (parachute diving accident by malfunction of main device). Treatment decision is discussed considering the eventual benefits and risks, finally performing a C2-C3 anterior fusion augmented with iliac crest autograft. There are 79 cases described in the literature, but the cases solved by surgery are not more than 20.

Keywords: Huge Teardrop Axis Fracture; Teardrop Fracture, Axis Fracture; Cervical Fusion; Anterior Approach; Cervical Arthrodesis


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Citation: Rodrigo Donoso., et al. “Huge Teardrop Fracture of the Axis: Literature Review and Case Report".Acta Scientific Orthopaedics 4.12 (2021): 17-22.


Copyright: © 2021 Rodrigo Donoso., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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