Trends in surgical management for type II odontoid fracture: 20 years of experience at a regional spinal cord injury center.
Publication/Presentation Date
7-1-2008
Abstract
This study reviewed surgical treatment methods in patients with type II odontoid fracture who were admitted to a level 1 spinal cord injury center during a 20-year period. Of the 186 patients who met inclusion criteria, 75 were treated operatively. The rate of surgical intervention increased during the study period. Length of hospital stay was not related to treatment. Estimated blood loss was significantly higher for posterior techniques. The Brooks technique and anterior odontoid screw fixation declined in frequency, whereas the Magerl technique has been used at a consistent rate since its introduction. The C1 lateral mass and C2 pedicle/isthmus screw technique has increased significantly since its description. Pneumonia, vocal cord, and swallowing problems occurred more often with anterior approaches.
Volume
31
Issue
7
First Page
650
Last Page
650
ISSN
0147-7447
Published In/Presented At
Smith, H. E., Vaccaro, A. R., Maltenfort, M., Albert, T. J., Hilibrand, A. S., Anderson, D. G., Harrop, J., Fehlings, M. G., Kopjar, B., Brodke, D. S., Arnold, P. M., & Shaffrey, C. I. (2008). Trends in surgical management for type II odontoid fracture: 20 years of experience at a regional spinal cord injury center. Orthopedics, 31(7), 650.
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
19292388
Department(s)
Administration and Leadership
Document Type
Article