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.
Often eliminates need for external orthosis
Preserves normal C1-C2 montion
Highest fusion rate
Rapid return to work and normal lifestyle
Fixation of recent odontoid fractures
Type II odontoid fracture
Some high type III odontoid fractures
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 preperation 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.