• Medicina · Jan 2005

    The treatment of odontoid fractures with a significant displacement.

    • Egidijus Kontautas, Kazys Vytautas Ambrozaitis, Bronius Spakauskas, and Romas Jonas Kalesinskas.
    • Clinic of Orthopedics and Traumatology, Kaunas University of Medicine, Lithuania.
    • Medicina (Kaunas). 2005 Jan 1; 41 (1): 23-9.

    ObjectiveThe purpose of this study was to determine the treatment features of odontoid fractures with a significant displacement.Material And MethodsThirty-seven patients with acute odontoid fractures were treated in Kaunas University of Medicine Hospital between 1998 and 2003. Seventeen persons with displacement of fragments less than 5 mm or 5 mm (according to E. A. Seybold and J. C. Bayley method) were in the first group. Twenty patients with displacement of fragments more than 5 mm were in the second group. The attempt of closed reduction of the cervical spine axis was performed for all patients. If successful closed reduction was achieved, patients were placed in halo-vest device for 8 weeks. If closed reduction failed, patient was operated according to W. E. Gallie. Postoperatively, all patients wore a halo-vest device during the first 8 weeks.ResultsDemographics including age, sex, neurological condition, and associated spinal fractures were similar in patients from these groups (p>0.05). Successful closed reduction of the cervical spine axis was achieved in 11 (64.7%) patients from the first group and in 13 (65%) patients from the second group (p>0.05). Six (35.3%) patients from the first group and seven (35%) from the second group were treated with immediate C1-C2 posterior fusion (p>0.05). Two (16.7%) from twelve patients from the second group were treated by external immobilization by halo-vest device and had nonunion of fracture 8 weeks after the treatment. All operated patients had a solid fusion.ConclusionsIf closed reduction of the odontoid fracture with a significant displacement was achieved then external immobilization by halo-vest device can be used. Posterior fusion is the treatment of choice for irreducible odontoid fractures.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…