Management of Type II Odontoid Fractures in the Geriatric Population

Chaudhary, Ali; Drew, Brian; Orr, Robert D.; Farrokhyar, Forough

doi:10.1097/bsd.0b013e3181b11d9f

Cited by 36 publications

(21 citation statements)

References 13 publications

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“…Omeis et al reported a 30.7% odontoid healing rate with posterior C1-2 surgery and a 37.5% healing rate with anterior odontoid screw fixation in the elderly population [18]. Chaudhary et al reported 87% fracture union after surgical treatment and 66% union with cervical collar treatment [2]. Osti et al report 29.0 and 8.6% morbidity and mortality in geriatric patients following anterior screw fixation of type II odontoid fractures [30].…”

Section: Discussionmentioning

confidence: 97%

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Rigid cervical collar treatment for geriatric type II odontoid fractures

et al. 2011

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Section: Discussionmentioning

confidence: 97%

“…High rates of morbidity and mortality have been published with the surgical treatment of geriatric odontoid fractures [1][2][3]. [29] External immobilization with a collar has had inconsistent reported results [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 98%

Rigid cervical collar treatment for geriatric type II odontoid fractures

et al. 2011

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“…atlantoaxial motion (8,9). In recent years, there has been an increasing tendency toward using anterior screw fixation in management of type II odontoid fractures (11).…”

Section: Mashhadinezhad H Et Al: Clinical Results Of Surgical Managementioning

confidence: 99%

Clinical results of surgical management in type ii odontoid fracture: a preliminary report

Mashhadinezhad¹,

Samini²,

Mashhadinezhad³

et al. 2011

Turkish Neurosurgery

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AIm: This study was conducted to evaluate the therapeutic effectiveness of surgical approaches in type II odontoid fracture. mATeRIAL and meTHods:In a retrospective study in Mashhad university, 15 patients with anterior screw fixation technique (ASF) and 31 patients with posterior approaches (PA) were reviewed. Patient demographics, clinical presentation, length of hospital stay, operation time, injury severity score (ISS), Preinjury Charlson comorbidity index, fusion rate and surgical complications were analyzed in these two groups.ResuLTs: Neck pain was the most common clinical presentation in these two groups (89.7%). There were no significant differences in ISS and mean length of hospital stay and Comorbidity index between the two groups. The operation time was different between these two groups (65 minutes in ASF versus118 minutes in PA, P < 0.05). Bone union was documented in 13 patients (87%) with ASF and 28 patients (90%) with PA. CoNCLusIoN:The outcome of surgery with anterior or posterior approach in the patients are potential candidates for surgery is good. In our patients, the operation time is different in the two groups but differences in fusion rate, length of hospital stay, comorbidity index and postsurgical complications are not considerable. KeywoRds:Type II odontoid fracture, Surgical management, Anterior approach, Posterior approach ÖZ AmAÇ: Bu çalışma tip II odontoid kırıklarda cerrahi yaklaşımın terapötik etkinliğini değerlendirmek için yapıldı. yÖNTem ve GeReÇLeR: Mashhad Üniversitesinde yapılan retrospektif bir çalışmada anterior vida fiksasyon tekniği (ASF) kullanılan 15 hasta ve posterior yaklaşımlar (PA) kullanılan 31 hasta gözden geçirildi. Bu iki grupta hasta demografik bilgileri, klinik sunum, hastanede kalma süresi, operasyon süresi, yaralanma şiddeti skoru (ISS), yaralanma öncesi Charlson Komorbidite İndeksi, füzyon oranı ve cerrahi komplikasyonlar analiz edildi.BuLGuLAR: Bu iki grupta en sık görülen klinik sunum boyun ağrısıydı (%89,7). İki grup arasında ISS ve ortalama hastanede kalma süresi ile komorbidite indeksi arasında önemli fark yoktu. Operasyon süresi bu iki grup arasında farklıydı (ASF grubunda 65 dakika ve PA grubunda 118 dakika, P < 0,05). Kemik birleşmesi ASF'li 13 hastada (%87) ve PA'lı 28 hastada (%90) görüldü. soNuÇ: Cerrahi için uygun olan hastalarda anterior veya posterior yaklaşımla cerrahi sonuçları iyidir. Hastalarımızda operasyon süresi iki grupta farklıydı ama füzyon oranı, hastanede kalma süresi, komorbidite indeksi ve cerrahi sonrası komplikasyonlar açısından önemli fark yoktu.

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“…Quatre études ont utilisé le score American Society of Anesthesiologists (ASA) [18,20,26,37], l'index de comorbidité de Charlson (CCI) [36] et le Cumulative Illness Rating Scale for Geriatrics (CIRS-G) [30]. Trois études renseignaient le nombre moyen de comorbidité par patient sans utiliser de score reconnu [21,34,38].…”

Section: Caractéristiques Des éTudesunclassified

“…Le vissage antérieur était la technique chirurgicale la plus représentée (75 %), et le collier cervical rigide était le type de contention orthopédique le plus représenté (65 %). Quatorze études rapportaient les critères de choix entre traitement chirurgical ou orthopédique [15,[17][18][19][20]22,23,25,[28][29][30][31]37,38]. Les trois arguments les plus fréquents étaient le nombre de comorbidités ou le statut ASA (six études sur 14), le choix du patient et/ou du chirurgien (six études sur 14) ainsi que les caracté-ristiques de la fracture (sept études sur 14).…”

Section: Caractéristiques Des éTudesunclassified