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  • Title: Combination Jefferson fracture of C1 and type II odontoid fracture requiring surgery: report of two cases.
    Author: Deen HG, Tolchin S.
    Journal: Neurosurgery; 1989 Aug; 25(2):293-7. PubMed ID: 2770993.
    Abstract:
    Two cases of simultaneous Jefferson fracture of C1 and Type II odontoid fracture requiring surgical stabilization are reported. One patient required early stabilization because alignment could not be maintained in a halo vest, and the second patient required late stabilization for nonunion after a 3-month period of immobilization in a two-poster cervical brace. Although this uncommon injury can often be managed conservatively, surgical fusion will need to be considered in the setting of early or late instability.
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