Surgical management of odontoid fractures at level one trauma center: a single-center series of 142 cases

Neurology India
Dattaraj Paramanand SawarkarBhawani Shanker Sharma

Abstract

Odontoid fractures constitute 9-20% of all adult cervical spine fractures. The present study was carried out to focus on the nuances involved in the surgical management of odontoid fractures. Patients with an odontoid fracture, admitted for surgical stabilization, between January 2008 and March 2014, were included in the study. Among 142 patients [127 male and 15 female patients; median age: 28 years range 4-75 years], type II odontoid fractures were present in 111, type IIA fractures in 8, and type III fractures in 23 patients. 58.5% patients had been involved in a motor vehicular accident while 38.7% had sustained a fall. Eighty-five patients (59.9%) with a well-reduced fracture and an intact transverse ligament underwent anterior odontoid screw (OS) placement; the other 57 patients (40.1%) underwent posterior fixation (PF). The mean follow-up duration was 22 months (range: 6 months-5.4 years). OS placement was successful in 82 patients (96.5%) with a fusion rate of 95% (95.8% in type II, 100% in type III, and 75% in type IIA odontoid fractures). The procedure-related morbidity was 11.7%. One patient died of sub-arachnoid hemorrhage (SAH) that occurred during OS placement. The PF procedures had a better fusion rate (96.5%). T...Continue Reading

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Citations

Mar 10, 2015·Neurology India·Atul Goel
Aug 16, 2016·Journal of Neurosurgery. Spine·Jared M PisapiaJames M Schuster
Jun 20, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ivan LvovVladimir Krylov
Jul 25, 2019·Spine·Nitish AgarwalSachin A Borkar
Jan 20, 2021·BMC Musculoskeletal Disorders·Yan WangHaijiang Lu
Jun 25, 2021·World Neurosurgery·Dattaraj Paramanand SawarkarShashank Sharad Kale

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