Apfelbaum Odontoid Fixation

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Anterior Odontoid Fixation according to Apfelbaum

The Apfelbaum odontoid system is a fixation technique in the treatment of odontoid fractures. The advantage of the Apfelbaum technique lies in preserving the full range of motion of the segment and in the minimized approach.

Advantages

  • Immediate stability
  • Often eliminates need for external orthosis
  • Preserves normal C1-C2 motion
  • Highest fusion rate
  • Rapid return to work and normal lifestyle

Features

  • Odontoid screw, partially threaded, made of Titanium alloy
  • Special instruments for minimal access
  • Odontoid retractor blades and counter retractor based on CCR Caspar cervical retractor
  • Odontoid guiding sleeve for save preparation and precise implantation

Scientific Studies
Direct anterior screw fixation for recent and remote odontoid fractures, J Neurosurg 93: 227-236, 2000; Apfelbaum RI, Lonser RR, Veres R, Casey A
The Treatment of Unstable Odontoid Fractures, Backup 01-2003; Ronald I. Apfelbaum, M.D.

Indication

  • Fixation of recent odontoid fractures
  • Type II odontoid fracture
  • Some high type III odontoid fractures

Video Surgical Technique Anterior Fixation of Odontoid Fractures

by Ronald I. Apfelbaum