Evidence and Controversies in Geriatric Odontoid Fracture Management.
Publication/Presentation Date
1-15-2024
Abstract
Geriatric odontoid fractures are some of the most common spine injuries in our aging population, and their prevalence is only continuing to increase. Despite several investigational studies, treatment remains controversial and there is limited conclusive evidence regarding the management of odontoid fractures. These injuries typically occur in medically complex and frail geriatric patients with poor bone quality, making their treatment particularly challenging. In this article, we review the evidence for conservative management as well as surgical intervention and discuss various treatment strategies. Given the high morbidity and mortality associated with odontoid fractures in the elderly, thoughtful consideration and an emphasis on patient-centered goals of treatment are critical to maximize function in this vulnerable population.
Volume
32
Issue
2
First Page
84
Last Page
84
ISSN
1940-5480
Published In/Presented At
Goh, B. C., Issa, T. Z., Lee, Y., Vaccaro, A. R., & Sebastian, A. S. (2024). Evidence and Controversies in Geriatric Odontoid Fracture Management. The Journal of the American Academy of Orthopaedic Surgeons, 32(2), e84–e94. https://doi.org/10.5435/JAAOS-D-23-00389
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
37793151
Department(s)
Administration and Leadership
Document Type
Article