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Odontoid fracture in geriatric patients - analysis of complications and outcome following conservative treatment vs. ventral and dorsal surgery.
Jung, Matthias K; Hörnig, Lukas; Raisch, Philipp; Grützner, Paul A; Kreinest, Michael.
Afiliação
  • Jung MK; Department of Trauma and Orthopaedic Surgery, BG Klinik Ludwigshafen, Ludwigshafen, Germany. matthias.jung@bgu-ludwigshafen.de.
  • Hörnig L; Department of Trauma and Orthopaedic Surgery, BG Klinik Ludwigshafen, Ludwigshafen, Germany.
  • Raisch P; Department of Trauma and Orthopaedic Surgery, BG Klinik Ludwigshafen, Ludwigshafen, Germany.
  • Grützner PA; Department of Trauma and Orthopaedic Surgery, BG Klinik Ludwigshafen, Ludwigshafen, Germany.
  • Kreinest M; Department of Trauma and Orthopaedic Surgery, BG Klinik Ludwigshafen, Ludwigshafen, Germany.
BMC Geriatr ; 23(1): 748, 2023 11 15.
Article em En | MEDLINE | ID: mdl-37968595
ABSTRACT

BACKGROUND:

Different treatment options are discussed for geriatric odontoid fracture. The aim of this study was to compare the treatment options for geriatric odontoid fractures.

METHODS:

Included were patients with the following criteria age ≥ 65 years, identification of seniors at risk (ISAR score ≥ 2), and odontoid fracture type A/B according to Eysel and Roosen. Three groups were compared conservative treatment, surgical therapy with ventral screw osteosynthesis or dorsal instrumentation. At a follow-up examination, the range of motion and the trabecular bone fracture healing rate were evaluated. Furthermore, demographic patient data, neurological status, length of stay at the hospital and at the intensive care unit (ICU) as well as the duration of surgery and occurring complications were analyzed.

RESULTS:

A total of 72 patients were included and 43 patients could be re-examined (range 2.7 ± 2.1 months). Patients with dorsal instrumentation had a better rotation. Other directions of motion were not significantly different. The trabecular bone fracture healing rate was 78.6%. The patients with dorsal instrumentation were hospitalized significantly longer; however, their duration at the ICU was shortest. There was no significant difference in complications.

CONCLUSION:

Geriatric patients with odontoid fracture require individual treatment planning. Dorsal instrumentation may offer some advantages.
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Texto completo: 1 Coleções: 01-internacional Temas: Geral / Cirurgia_oncologica Base de dados: MEDLINE Assunto principal: Fraturas da Coluna Vertebral / Fraturas Ósseas / Processo Odontoide Limite: Aged / Humans Idioma: En Revista: BMC Geriatr Assunto da revista: GERIATRIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Alemanha

Texto completo: 1 Coleções: 01-internacional Temas: Geral / Cirurgia_oncologica Base de dados: MEDLINE Assunto principal: Fraturas da Coluna Vertebral / Fraturas Ósseas / Processo Odontoide Limite: Aged / Humans Idioma: En Revista: BMC Geriatr Assunto da revista: GERIATRIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Alemanha