دورية أكاديمية
Odontoid Fracture with Accompanying Severe Atlantoaxial Instability in Elderly Patients—Analysis of Treatment, Adverse Events, and Outcome
| العنوان: | Odontoid Fracture with Accompanying Severe Atlantoaxial Instability in Elderly Patients—Analysis of Treatment, Adverse Events, and Outcome |
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| المؤلفون: | Michael Kreinest, Philipp Raisch, Lukas Hörnig, Sven Y. Vetter, Paul A. Grützner, Matthias K. Jung |
| المصدر: | Journal of Clinical Medicine, Vol 13, Iss 5, p 1326 (2024) |
| بيانات النشر: | MDPI AG, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | odontoid fracture, atlantoaxial instability, cervical spine fracture, elderly, geriatric, Medicine |
| الوصف: | (1) Background: In elderly patients with type II odontoid fractures, accompanying severe atlantoaxial instability (AAI) is discussed as a marker possibly warranting more aggressive surgical therapy. This study aimed to characterize adverse events as well as the radiological and functional outcomes of surgical vs. conservative therapy in patients with odontoid fracture and AAI. (2) Methods: Patients aged 65 years and older with type II odontoid fracture and AAI treated were included. AAI was assumed if the mean subluxation across both atlantoaxial facet joints in the sagittal plane was greater than 50%. Data on demographics, comorbidities, treatment, adverse events, radiological, and functional outcomes were analyzed. (3) Results: Thirty-nine patients were included. Hospitalization time was significantly shorter in conservatively treated patients compared to patients with ventral or dorsal surgery. Adverse events occurred in 11 patients (28.2%), affecting 10 surgically treated patients (35.7%), and 1 conservatively treated patient (9.1%). Moreover, 25 patients were followed-up (64.1%). One secondary dislocation occurred in the conservative group (11.1%) and three in the surgical group (18.8%). (4) Conclusions: Despite the potential for instability in this injury, conservative treatment does not seem to lead to unfavorable short-term results, less adverse events, and a shorter hospital stay and should thus be considered and discussed with patients as a treatment option, even in the presence of severe AAI. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 13051326 2077-0383 |
| العلاقة: | https://www.mdpi.com/2077-0383/13/5/1326Test; https://doaj.org/toc/2077-0383Test |
| DOI: | 10.3390/jcm13051326 |
| الوصول الحر: | https://doaj.org/article/61c48183b6ab4f188c863ae4473e151bTest |
| رقم الانضمام: | edsdoj.61c48183b6ab4f188c863ae4473e151b |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 13051326 20770383 |
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| DOI: | 10.3390/jcm13051326 |