• Chir Organi Mov · Jan 2000

    Review

    An evaluation of the results of two non-surgical methods in the treatment of fractures of the odontoid process.

    • P Della Torre, C Fiacca, and S Lignini.
    • Dipartimento di Specialità Medico-Chirurgiche, Sezione di Ortopedia e Traumatologia, Università degli Studi, Perugia.
    • Chir Organi Mov. 2000 Jan 1; 85 (1): 45-52.

    AbstractThe authors illustrate the results of a series of 47 fractures of the odontoid process all treated according to two non-surgical methods, among the most diffused and accepted: Minerva plaster and halo-plaster. The various elements used to classify odontoid fractures are examined, as is their importance for prognosis. The conclusions refer to two essential points: 1) fractures with a higher risk of nonunion are Anderson type II, with posterior shifting, in elderly patients; 2) reduction and immobilization with a halo-plaster may be considered the first choice of a method for most of these fractures, in consideration of the limited risk of nonunion involved.

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