![]() ![]() Muller EJ, Schwinnen I, Fischer K, Wick M, Muhr G (2003) Non-rigid immobilisation of odontoid fractures. Scheyerer MJ, Zimmermann SM, Simmen HP, Wanner GA, Werner CM (2013) Treatment modality in type II odontoid fractures defines the outcome in elderly patients. Joestl J, Lang NW, Tiefenboeck TM, Hajdu S, Platzer P (2016) Management and outcome of dens fracture nonunions in geriatric patients. Harrop JS, Hart R, Anderson PA (2010) Optimal treatment for odontoid fractures in the elderly. ![]() Ganau M, Prisco L, Cebula H, Todeschi J, Abid H, Ligarotti G, Pop R, Proust F, Chibbaro S (2017) Risk of Deep vein thrombosis in neurosurgery: state of the art on prophylaxis protocols and best clinical practices. Ganau M, Ligarotti GKI, Meloni M, Chibbaro S (2019) Efficacy and safety profiles ofmechanical and pharmacological thromboprophylaxis. Paradis GR, Janes JM (1973) Posttraumatic atlantoaxial instability: the fate of the odontoid process fracture in 46 cases. Pal D, Sell P, Grevitt M (2011) Type II odontoid fractures in the elderly: an evidence-based narrative review of management. Hart R, Saterbak A, Rapp T, Clark C (2000) Nonoperative management of dens fracture nonunion in elderly patients without myelopathy. Iyer S, Hurlbert RJ, Albert TJ (2018) Management of odontoid fractures in the elderly: a review of the literature and an evidence-based treatment algorithm. Govender S, Maharaj JF, Haffajee MR (2000) Fractures of the odontoid process. A histomorphometric analysis of 37 normal and osteoporotic autopsy cases. Īmling M, Posl M, Wening VJ, Ritzel H, Hahn M, Delling G (1995) Structural heterogeneity within the axis: the main cause in the etiology of dens fractures. Wagner SC, Schroeder GD, Kepler CK, Schupper AJ, Kandziora F, Vialle EN, Oner C, Fehlings MG, Vaccaro AR (2017) Controversies in the management of geriatric odontoid fractures. Julien TD, Frankel B, Traynelis VC, Ryken TC (2000) Evidence-based analysis of odontoid fracture management. Vieweg U, Schultheiss R (2001) A review of halo vest treatment of upper cervical spine injuries. įehlings MG, Arun R, Vaccaro AR, Arnold PM, Chapman JR, Kopjar B (2013) Predictors of treatment outcomes in geriatric patients with odontoid fractures: AOSpine North America multi-centre prospective GOF study. Von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, Initiative S (2008) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Grauer JN, Shafi B, Hilibrand AS, Harrop JS, Kwon BK, Beiner JM, Albert TJ, Fehlings MG, VaccaroAR, (2005) Proposal of a modified, treatment-oriented classification of odontoid fractures. J Bone Joint Surg Am 98:449–456Ĭhaudhary A, Drew B, Orr RD, Farrokhyar F (2010) Management of type II odontoid fractures in the geriatric population: outcome of treatment in a rigid cervical orthosis. Pearson AM, Martin BI, Lindsey M, Mirza SK (2016) C2 vertebral fractures in the medicare population: incidence, outcomes, and costs. Ryan MD, Henderson JJ (1992) The epidemiology of fractures and fracture-dislocations of the cervical spine. Failure of conservative treatment can be safely addressed with surgical fixation at a later stage. ![]() This study showed that a conservative approach to odontoid Type II fracture in elderly is an effective and valid option, resulting in an excellent functional outcome (regardless of bony fusion) in the majority of cases. The residual 5% were still variably symptomatic at 12 weeks however, only 5 out of 13 (2% of the total cohort) required delayed surgery. Patients were followed up for a minimum of 24 months: 247 (95%) showed an excellent functional outcome within 6 weeks, among them 117 (45%) showed a good bony healing, whereas 130 (50%) healed in pseudo-arthrosis. Among the 260 patients enrolled, 177 (68%) were women and 83 (32%) men, with a median age of 83 years. All patients were clinically evaluated by Neck Disability Index (NDI), Charlson Comorbidity Index (CCI), and American Society of Anaesthesiologists classification (ASA) on admission NDI was assessed also at 6 weeks, 3, 6, 12, and 24 months furthermore, a quality of life (QoL) assessment with the SF-12 form was performed at 3 and 12 months. All patients underwent CT scan on admission and at 3 months if indicated, selected patient had CT scan at 6 and 12 months. Observational multicenter study was conducted on a prospectively built database on elderly patients (> 75 years) with Type II odontoid fracture managed conservatively during the last 10 years. External immobilization is the treatment of choice for Type I and III there is still no wide consensus about the best management of Type II fractures. Odontoid fractures constitute the most common cervical fractures in elderly. ![]()
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