PURPOSE: Type IIB odontoid fractures (OF) in elderly patients are life-threatening conditions. Optimal treatment of these fractures is still controversial. The aim of this study was to assess the clinical and radiological outcome of surgically treated type IIB OF by anterior screw fixation in octogenarians. METHODS: Eleven octogenarians with type IIB OF were operated using anterior screw fixation. Follow-up assessment included operative mortality and morbidity rates, long-term functional outcome and fracture union and stability. RESULTS: There was neither operative mortality nor morbidity. Five patients had excellent clinical outcome, two good outcome, one fair and three poor. Two patients died of unrelated causes 2 months after surgery. Radiographs showed stable bone union in four patients and stable fibrous union in five patients. CONCLUSIONS: Given the results in this short series, we suggest that anterior screw fixation of Type IIB OF may be offered as primary treatment in octogenarians.
PURPOSE:Type IIB odontoid fractures (OF) in elderly patients are life-threatening conditions. Optimal treatment of these fractures is still controversial. The aim of this study was to assess the clinical and radiological outcome of surgically treated type IIB OF by anterior screw fixation in octogenarians. METHODS: Eleven octogenarians with type IIB OF were operated using anterior screw fixation. Follow-up assessment included operative mortality and morbidity rates, long-term functional outcome and fracture union and stability. RESULTS: There was neither operative mortality nor morbidity. Five patients had excellent clinical outcome, two good outcome, one fair and three poor. Two patients died of unrelated causes 2 months after surgery. Radiographs showed stable bone union in four patients and stable fibrous union in five patients. CONCLUSIONS: Given the results in this short series, we suggest that anterior screw fixation of Type IIB OF may be offered as primary treatment in octogenarians.
Authors: Harvey E Smith; Alexander R Vaccaro; Mitchell Maltenfort; Todd J Albert; Alan S Hilibrand; D Greg Anderson; James Harrop; Michael G Fehlings; Branko Kopjar; Darrel S Brodke; Paul M Arnold; Christopher I Shaffrey Journal: Orthopedics Date: 2008-07 Impact factor: 1.390
Authors: Harvey E Smith; Stewart M Kerr; Mitchell Maltenfort; Sonia Chaudhry; Robert Norton; Todd J Albert; James Harrop; Alan S Hilibrand; D Greg Anderson; Branko Kopjar; Darrel S Brodke; Jeffrey C Wang; Michael G Fehlings; Jens R Chapman; Archit Patel; Paul M Arnold; Alexander R Vaccaro Journal: J Spinal Disord Tech Date: 2008-12
Authors: Florentius Koech; Helen M Ackland; Dinesh K Varma; Owen D Williamson; Gregory M Malham Journal: Spine (Phila Pa 1976) Date: 2008-12-15 Impact factor: 3.468
Authors: Ivan Lvov; Andrey Grin; Aleksandr Talypov; Ivan Godkov; Anton Kordonskiy; Ulugbek Khushnazarov; Vladimir Smirnov; Vladimir Krylov Journal: Eur Spine J Date: 2020-06-15 Impact factor: 3.134
Authors: Jeroen G J Huybregts; Wilco C H Jacobs; Wilco C Peul; Carmen L A Vleggeert-Lankamp Journal: BMC Musculoskelet Disord Date: 2014-01-08 Impact factor: 2.362
Authors: Lei Fan; Dingqiang Ou; Xuna Huang; Mao Pang; Xiu-Xing Chen; Bu Yang; Qi-You Wang Journal: Medicine (Baltimore) Date: 2019-11 Impact factor: 1.817