![]() ![]() It may be more important to use seat belts than to depend on the airbag alone for protection from injury. Odontoid fractures still occur in individuals involved in late-model motor vehicle frontal crashes, and because this injury occurs secondary to head impact, airbags may not play a major role in mitigating this type of trauma to an unrestrained occupant. Multiple factors contributed to the Type II odontoid fracture: the patient's tall stature and intoxicated state lack of manual three-point seat belt use obliqueness of the frontal impact and the most likely preflexed position of the head-neck complex at the time of impact, which led to contact of the parietal region with the A-pillar roof-rail area of the vehicle and resulted in the transfer of the dynamic compressive force associated with lateral bending. Odontoid peg fractures are associated with a high mortality especially in elderly patients. They discuss the biomechanical mechanisms of injury after considering patient demographic data, type and use of restraint systems including seatbelt and airbags, crash characteristics, and laboratory-based experimental studies. Odontoid peg fractures are the most common cervical spine injury in the elderly and the most common vertebral fracture in patients over 70 with prevalence underestimated. ![]() We hypothesize that a subgroup of complex, Type III fractures caused by high-energy mechanisms are more likely to fail nonoperative treatment. Posterior atlanto-occipital dislocation with fractures. The authors report a case of Type II odontoid fracture from a frontal impact sustained in the crash of a late-model motor vehicle. Objective: Type III odontoid fractures are classically treated nonoperatively, yet, the current literature on Type III odontoid fractures includes fractures of multiple etiologies and fracture morphologies. Pharangeal Injury: - ref: Transverse atlantal ligament disruption associated with odontoid fractures.
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