$type 3 odontoid fracture treatment$

$type 3 odontoid fracture treatment$

TYPE 3 ODONTOID FRACTURE TREATMENT SKIN

No deep vein thrombosis or pulmonary embolism was recorded.Īt the end of follow-up, patients reported a mean VAS score of 0.73 ± 1.2 (range: 0–3), with a complete pain resolution in 21 (70%) patients. Three of those patients required HV replacement with rigid cervical collar after 10 days of treatment due to HV intolerance.

TYPE 3 ODONTOID FRACTURE TREATMENT SKIN

Three patients reported pin tract pain and two reported pin tract inflammation with no macroscopic appearance of infection, four patients reported thoracic dermatitis under dorsal vest, and one patient reported skin decubitus under dorsal shell solved with advanced medications. Twenty-one (70%) patients did not reach bone consolidation and developed pseudoarthrosis, stable at dynamic X-ray. The aim of the study is to evaluate and compare clinical and radiological outcomes after surgery (anterior screw fixation) or HV treatment in type II dens fractures in elderly patients.Īt the end of follow-up, nine (30%) patients reached complete bone healing and osseous consolidation. Despite global risks, the surgical approach seems to be preferred in elderly patients with a weak recommendation. The surgical strategy leads to union in >90% of patients. Conservative treatment has the advantage to avoid anesthesia and surgical risks but its associated to an elevated risk of nonunion, especially in type II fractures. Treatment options include cervical orthosis, halo vest (HV), or surgical intervention (C1-C2 fusion, anterior screw, or posterior approach). The correct treatment must be chosen considering the patient global health status, the type of fracture, classified by Anderson and D'Alonzo and its dislocation grade to comprehend the healing possibility. Due to this reason, it is not easy estimate the exact prevalence of this fracture while the majority of surviving patients do not have spinal cord impairments.Īppropriate management is still debated and remains controversial. In high-energy trauma, this kind of fracture is related very often to spinal cord injury and visceral trauma, with an high incidence of mortality. These injuries, usually, result from an hyperextension or hyperflexion mechanism of the cervical spine in low-energy impacts such as falls for elderly patients or in high-energy impacts such as motor vehicles accidents for young people. The high prevalence of osteoporosis in elderly people makes the odontoid fracture, the most common cervical fracture in over 70-year-old patients. Odontoid fracture is a very common cervical injury, accounting approximately for 9%–15% of all cervical fractures and 50% of spine fractures in the elderly.

$type 3 odontoid fracture treatment$

Type 3 odontoid fracture treatment