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Abstract：
Fractures of the odontoid apophysis are one of the most frequent lesions in the elderly population, and an increasingly preponderant problem with the progressive aging of the world population. In the present work, we report a clinical case of an 88-year-old male patient who suffered a fall resulting in a type-II fracture of the odontoid apophysis on the Anderson-D\'Alonzo classification. Given the age and comorbidities of the patient, we decided to perform osteosynthesis of the fracture through anterior fixation with a transarticular screw in combination with fixation with an odontoid screw. This technique enables the necessary stability for the consolidation of Anderson-D\'Alonzo\'s type II odontoid apophysis fracture, with the advantage of the lower levels of dissection of the cervical extensor musculature and hemorrhage resulting from this aggression when compared with the posterior approach; moreover, it is a readily-available technique that yields clear benefits in the treatment of this pathology in the geriatric population.
摘要：
齿状突骨折是老年人群中最常见的病变之一，以及随着世界人口的逐渐老龄化而日益突出的问题。在目前的工作中,我们报道了一例88岁男性患者的临床病例,该患者跌倒导致Anderson-D'Alonzo分类的齿状突骨突骨的II型骨折。鉴于患者的年龄和合并症，我们决定通过前路经关节螺钉固定结合齿状突螺钉固定进行骨折的骨连接。这种技术使必要的稳定性巩固Anderson-D'Alonzo的II型齿状突骨突骨折，与后入路相比，宫颈伸肌系统的解剖水平较低，并且由于这种侵略而导致出血；此外，这是一种容易获得的技术，在老年人群中这种病理的治疗中产生明显的益处。
