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July 4, 2026JEM ReportsOpen Access

Clinical-Radiographic Dissociation of Type II Odontoid Fracture with Complex Features: A Case Report

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Authors

MCMichael A. CirelliJPJordan R. PollockAKAndrew Keown

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Overview

Case report reveals severe outcomes of undiagnosed cervical spine injuries in elderly patients after falls, indicating critical imaging needs.

Key Points

  • This report aims to highlight the clinical-radiographic dissociation seen in an elderly patient with a type II odontoid fracture.
  • Descriptive case report of an 80-year-old woman with an odontoid fracture following a ground-level fall.
  • CT and MRI imaging were utilized to assess injury characteristics and associated complications.
  • Clinical observation included neurological examination and imaging follow-up during hospitalization.
  • Initial CT showed a posteriorly displaced type II odontoid fracture with bilateral atlantoaxial rotatory subluxation and anterior epidural hematoma.
  • Despite cervical immobilization, the patient developed transient upper extremity weakness after three days, prompting repeat imaging.
  • Repeat imaging indicated worsening subluxation and necessitated emergency surgical decompression and fusion.

Cite This Study

Cirelli et al. (2026) studied this question.

synapsesocial.com/papers/6a48a72989561a0c2d78ebf8https://doi.org/10.1016/j.jemrpt.2026.100260
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