Other displaced dens fracture digital illustration

Other displaced dens fracture Save


ICD-10 code: S12.120

Chapter: Injury, poisoning and certain other consequences of external causes

What is Other Displaced Dens Fracture?

Other displaced dens fracture is a type of fracture that occurs at the base of the skull where the dens or the odontoid process is located. The dens is a small bony projection that extends from the second cervical vertebrae and serves as an important point of support for the head.

Other displaced dens fractures are different from Type 2 dens fractures, which is the most common type of dens fracture. In other displaced dens fractures, the dens is fractured at the base of the skull and is displaced from its normal position, causing instability in the neck.

Causes of Other Displaced Dens Fracture

Other displaced dens fractures are caused by a sudden and forceful impact to the head or neck, such as in a car accident or a fall. This type of fracture is also more common in older individuals as the dens becomes more brittle with age.

Symptoms of Other Displaced Dens Fracture

The symptoms of other displaced dens fractures include severe neck pain, difficulty moving the neck, numbness or tingling in the arms, and even paralysis in severe cases. It is important to seek medical attention immediately if you experience any of these symptoms after a head or neck injury.

Treatment of Other Displaced Dens Fracture

The treatment of other displaced dens fractures depends on the severity of the fracture. In some cases, a neck brace or collar may be sufficient to immobilize the neck and allow the fracture to heal on its own. In more severe cases, surgery may be required to realign the dens and stabilize the neck.

  1. Non-surgical treatments include:
    • Immobilization with a neck collar or brace
    • Pain medication and anti-inflammatory drugs
    • Physical therapy to improve neck strength and range of motion
  2. Surgical treatments include:
    • Cervical fusion surgery, which fuses the vertebrae together with a bone graft
    • Posterior C1-C2 fusion, which stabilizes the fracture with screws and rods
Conclusion

Other displaced dens fractures are a serious injury that can cause significant pain and even paralysis. It is important to seek medical attention immediately if you experience any symptoms of this type of fracture. Treatment options range from non-surgical options such as immobilization and physical therapy to surgical options such as cervical fusion surgery or posterior C1-C2 fusion. With proper treatment, individuals with other displaced dens fractures can regain neck stability and function.