Treatment protocol for fractures of the odontoid process

Kazuhiro Chiba, Yoshikazu Fujimura, Yoshiaki Toyama, Eiji Fujii, Tadayuki Nakanishi, Kiyoshi Hirabayashi

研究成果: Article査読

68 被引用数 (Scopus)

抄録

Treatment results in 104 patients with odontoid fractures were reviewed. There were 2 type I, 62 type II, 32 type III fractures and eight epiphysiolyses in children <7 years old. Thirty-seven patients were managed nonoperatively using plaster casts, cervical braces, or halo devices. Sixty- seven patients were treated surgically including anterior screw fixation (ASF), posterior fusion (PF), and transoral anterior fusion (TAF). Plaster cants and cervical braces were effective for type I fractures and epiphysiolyses truly. Halo devices provided successful results in stable type III fractures. ASF is the treatment of choice for most type II and unstable III fractures including some old cases. PF also provided successful union, although impaired cervical motion remained. It should be reserved for irreducible fractures, established nonunions, and as a salvage procedure. TAF should be limited to exceptional cases requiring anterior spinal cord decompression.

本文言語English
ページ(範囲)267-276
ページ数10
ジャーナルJournal of Spinal Disorders
9
4
出版ステータスPublished - 1996 9月 22

ASJC Scopus subject areas

  • 外科
  • 臨床神経学

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