Odontoid/Dens Fractures

Author:

Good Anthony E.,Ramponi Denise R.

Abstract

Odontoid fractures remain the most common C2 fracture and of those individuals older than 65 years. The type of optimal management remains in question given comorbidities, risk of nonunion, and limitations in mobility when surgical fusion is the treatment selected. These fractures are of particular importance, given the high incident of morbidity and mortality following an odontoid fracture. Overall quality of life remains a significant consideration when selecting the best intervention following careful examination and confirmation with radiographic imaging. The literature continues with controversies in the best treatment interventions for these fractures, resulting in a case-by-case decision-making process.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference5 articles.

1. Comparison of hard and soft cervical collars for the management of odontoid peg fractures in the elderly;Coleman;Geriatric Orthopaedic Surgery & Rehabilitation,2022

2. Surgical outcomes for C2 tear drop fractures: Clinical relevance to hangman's fracture and C2-3 discoligamentous injury;Kim;Orthopaedic Surgery,2021

3. Evaluation of morbidity, mortality and outcome following cervical spine injuries in elderly patients;Malik;European Spine Journal,2008

4. Odontoid fractures: A standard review of current concepts and treatment recommendations;Nourbakhsh;Journal of the American Academy of Orthopaedic Surgeons,2022

5. The role of the transversal ligament on the atlantoaxial complex—bending forces at C1/2 flexion limits in the elderly;Ott;Clinical Biomechanics,2021

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