Format

Send to

Choose Destination
See comment in PubMed Commons below
Eur Spine J. 2012 Feb;21(2):335-9. doi: 10.1007/s00586-011-2044-7. Epub 2011 Oct 19.

Anterior screw fixation of type IIB odontoid fractures in octogenarians.

Author information

1
Department of Neurosurgery, Pontchaillou University Hospital, 2, rue Henri le Guilloux, 35033 Rennes Cedex 9, France. pierre-louis.henaux@chu-rennes.fr

Abstract

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.

PMID:
22008867
PMCID:
PMC3265585
DOI:
10.1007/s00586-011-2044-7
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer Icon for PubMed Central
    Loading ...
    Support Center