A comparison of anterior screw fixation and halo immobilisation of type II odontoid fractures in elderly patients at increased risk from anaesthesia

2016 ◽  
Vol 98-B (9) ◽  
pp. 1222-1226 ◽  
Author(s):  
J. Joestl ◽  
N. Lang ◽  
A. Bukaty ◽  
P. Platzer
Keyword(s):  
Elderly Patients ◽  
Screw Fixation ◽  
Type Ii ◽  
Odontoid Fractures ◽  
Anterior Screw Fixation ◽  
Increased Risk

Cement-augmented anterior screw fixation of Type II odontoid fractures in elderly patients with osteoporosis

2013 ◽  
Vol 13 (12) ◽  
pp. 1858-1863 ◽  
Author(s):  
Hendrik Kohlhof ◽  
Ulrich Seidel ◽  
Sven Hoppe ◽  
Marius J. Keel ◽  
Lorin M. Benneker
Keyword(s):  
Elderly Patients ◽  
Screw Fixation ◽  
Type Ii ◽  
Odontoid Fractures ◽  
Anterior Screw Fixation

Anterior Screw Fixation of Odontoid Fractures Comparing Younger and Elderly Patients

Spine ◽  
2007 ◽  
Vol 32 (16) ◽  
pp. 1714-1720 ◽  
Author(s):  
Patrick Platzer ◽  
Gerhild Thalhammer ◽  
Roman Ostermann ◽  
Thomas Wieland ◽  
Vilmos Vécsei ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Screw Fixation ◽  
Odontoid Fractures ◽  
Anterior Screw Fixation

Surgical Treatment of Acute Type II and Rostral Type III Odontoid Fractures Managed by Anterior Screw Fixation

2005 ◽  
Vol 98 (9) ◽  
pp. 895-900 ◽  
Author(s):  
Kostas N. Fountas ◽  
Theofilos G. Machinis ◽  
Eftychia Z. Kapsalaki ◽  
Vassilios G. Dimopoulos ◽  
Carlos H. Feltes ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Screw Fixation ◽  
Acute Type ◽  
Type Ii ◽  
Odontoid Fractures ◽  
Type Iii ◽  
Anterior Screw Fixation

P22. Anterior Screw Fixation in Type II Odontoid Fractures: Is it a Reliable Method in the Elderly?

2006 ◽  
Vol 6 (5) ◽  
pp. 94S
Author(s):  
Woo-Kie Min ◽  
Joo-Kyung Sung ◽  
In-Ho Jeon ◽  
Chang-Wug Oh ◽  
Shin-Yoon Kim ◽  
...  
Keyword(s):  
Reliable Method ◽  
Screw Fixation ◽  
The Elderly ◽  
Type Ii ◽  
Odontoid Fractures ◽  
Anterior Screw Fixation

Anterior screw fixation of posteriorly displaced type II odontoid fractures

Neurosurgery ◽  
1989 ◽  
pp. 30 ◽  
Author(s):  
F H Geisler ◽  
C Cheng ◽  
A Poka ◽  
R J Brumback
Keyword(s):  
Screw Fixation ◽  
Type Ii ◽  
Odontoid Fractures ◽  
Anterior Screw Fixation

Anterior Screw Fixation in Type II Odontoid Fractures: Is There a Difference in Outcome between Age Groups?

Neurosurgery ◽  
2003 ◽  
Vol 52 (5) ◽  
pp. 1089-1094 ◽  
Author(s):  
Wolfgang Börm ◽  
Erich Kast ◽  
Hans-Peter Richter ◽  
Klaus Mohr
Keyword(s):  
Screw Fixation ◽  
Age Groups ◽  
Type Ii ◽  
Odontoid Fractures ◽  
Anterior Screw Fixation

TREATMENT OF REMOTE TYPE II AXIS FRACTURES IN THE ELDERLY

Neurosurgery ◽  
2008 ◽  
Vol 63 (6) ◽  
pp. 1145-1151 ◽  
Author(s):  
Antonino Agrillo ◽  
Natale Russo ◽  
Nicola Marotta ◽  
Roberto Delfini
Keyword(s):  
Elderly Patients ◽  
Screw Fixation ◽  
The Elderly ◽  
Neurological Status ◽  
Neurological Impairment ◽  
Type Ii ◽  
Correct Treatment ◽  
Anterior Screw Fixation ◽  
Preliminary Study

Abstract OBJECTIVE This preliminary study considers the feasibility and the results of anterior screw fixation in elderly patients with remote Type II axis fractures. Odontoid fractures are the most common fractures of the cervical spine in people 70 years of age or older. In developing countries, direct anterior fracture fixation is replacing posterior fusion in many cases. Recently, it has been demonstrated that patient age does not influence the outcome in terms of fusion after odontoid screw fixation. There is considerable disagreement about correct treatment in the case of remote fractures. In the literature, there have been no studies considering the feasibility and results of anterior screw fixation in elderly patients with remote Type II axis fractures. METHODS From 1989 to 2005, we observed 9 patients over the age of 65 years with isolated Type II remote fractures of the dens. All fractures were considered to be inveterate, as the traumatic events had occurred 6 to 12 months earlier. All fractures were treated with anterior infibulation of the dens with single 3.5-mm cannulated screws. RESULTS A bony fusion was radiologically documented in 7 patients (77%) 4 to 16 months after the intervention. In 1 patient, a fibrous union was observed. The neurological status remained unchanged in all patients, and no patients showed any neurological impairment at the time of follow-up. CONCLUSION According to our preliminary study, the technique appears to be feasible for remote axis fractures within 12 months of trauma, and it seems to be safe for elderly patients. Further data from additional studies are needed.

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