Functional outcomes, morbidity, mortality and fracture healing rates in 58 consecutive geriatric odontoid fracture patients treated with cervical collar or posterior fusion
نویسندگان
چکیده
Controversy exists as to the most effective management option for elderly patients with type II odontoid fractures. Furthermore, outcomes for patients who do not achieve fusion or fracture healing after treatment remain unclear in the literature. The purpose of this study is to evaluate fracture-healing rates, functional outcomes, complications, and mortality associated with rigid cervical collar and posterior fusion surgery (PSF) for the management of geriatric type II odontoid fractures.
منابع مشابه
Functional Outcomes, Morbidity, Mortality, and Fracture Healing in 58 Consecutive Patients with Geriatric Odontoid Fracture Treated with Cervical Collar or Posterior Fusion
Controversy exists as to the most effective management option for elderly patients with type II odontoid fractures. The purpose of this study is to evaluate outcomes associated with rigid cervical collar and posterior fusion surgery. Patients with ≥ 50% odontoid displacement were treated with posterior fusion surgery including C1-2 (PSF group, n = 25, average age = 80 years). Patients with < 50...
متن کاملFunctional and Radiographic Outcomes of Geriatric Odontoid Fractures Treated with Rigid Collar or Posterior Fusion
INTRODUCTION: Controversy exists as to the most effective management option for elderly patients with type II odontoid fractures. Furthermore, outcomes for those patients who do not achieve fusion or fracture healing after treatment remain unclear in the literature. The purpose of this study is to evaluate fracture healing rates, functional outcomes, complications, and mortality associated with...
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Odontoid fractures account for 5% to 15% of all cervical spine injuries and 1% to 2% of all spine fractures. Type II fractures are the most common fracture pattern in elderly patients. Treatment (rigid and non-rigid immobilization, anterior screw fixation of the odontoid and posterior C1-C2 fusion) remains controversial and represents a unique challenge for the treating surgeon. The aims of tre...
متن کاملType II odontoid fractures in the elderly: early failure of nonsurgical treatment.
The optimum treatment of Type II odontoid fractures in the geriatric population remains controversial. Coexisting medical conditions encountered in the elderly patient often increase operative risk and make cervical immobilization difficult to tolerate. Previous studies have shown increased morbidity and mortality and decreased fusion rates for Type II odontoid fractures treated with cervical o...
متن کاملLonger-Term Outcomes of Geriatric Odontoid Fracture Nonunion
INTRODUCTION Longer-term outcomes of patients with geriatric type II odontoid fracture nonunion remain unclear. METHODS Thirty-four consecutive geriatric patients (>70 years old) with minimally displaced (<50% displacement) type II odontoid fractures were treated 24 hours a day for 12 weeks with rigid collar immobilization between the years 2003 and 2011. Radiographic and medical record revie...
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عنوان ژورنال:
دوره 2 شماره
صفحات -
تاریخ انتشار 2011