Table 4.
Subtype | Description | Treatment guideline |
---|---|---|
Type I | Above inferior aspect of C1 anterior arch | External immobilization* |
Type II | Between types I and II fractures | |
Type IIA | Nondisplaced fracture | External immobilization |
Type IIB | Anterior superior to posterior inferior and displaced transverse fractures | Anterior screw fixation |
Type IIC | Anterior inferior to posterior superior or comminuted fractures | Posterior atlantoaxial fusion |
Type III | Including at least one of the superior articular facets of C2 | External immobilization |
Halo-vest fixation or Philadelphia brace.