Early complications of surgical versus conservative treatment of isolated type II odontoid fractures in octogenarians: a retrospective cohort study

Journal of Spinal Disorders & Techniques
Harvey E SmithAlexander R Vaccaro

Abstract

A retrospective cohort study of operative versus nonoperative treatment of isolated type II odontoid fractures in patients aged 80 years and more without neurologic deficit admitted to a level 1 spinal cord injury center between June 1985 and July 2006. To assess the presentation and acute complications of operatively and nonoperatively managed type II odontoid fractures in the octogenarian population. Type II odontoid fractures are the most common cervical spine fracture in the elderly. Studies suggest acute in-hospital complication rates in type II odontoid fractures in the elderly exceed 50%. Few studies have examined the acute in-hospital outcomes of isolated type II odontoid fractures in the octogenarian population. The medical records of 223 consecutive C2 fractures from June 1985 to July 2006 over the age of 80 years were reviewed retrospectively. Patients with associated cervical spine fractures were excluded. Eighty neurologically intact patients over age 80 were identified with isolated acute type II odontoid fractures. The charts were reviewed and mechanism of injury, comorbidities, date of injury, date of admission, date of discharge, radiology reports, discharge disposition, associated injuries, fracture management...Continue Reading

Associated Clinical Trials

References

Jan 1, 1978·Journal of Neurosurgery·M L ApuzzoT Kurze
Jan 1, 1974·Acta Orthopaedica Scandinavica·J Husby, K H Sorensen
Oct 1, 1993·Journal of Spinal Disorders·M D Ryan, T K Taylor
Nov 7, 1999·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·E J MüllerG Muhr
Oct 5, 2001·Journal of Spinal Disorders·R C Sasso
Nov 15, 2002·Neurosurgery·Mark N HadleyTimothy C Ryken
Nov 19, 2002·Spine·R P MelcherDavid S Bradford
May 16, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·E J MüllerG Muhr
Feb 4, 2006·The Journal of Trauma·Robert Z TashjianWilliam G Cioffi
May 9, 2006·Neurosurgical Focus·U Batzdorf
May 11, 2006·Spine·Travis G Maak, Jonathan N Grauer
Sep 12, 2006·European Journal of Radiology·Erich SorantinFelix Thimary

Citations

Sep 14, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·D PalM Grevitt
Oct 20, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·P L HénauxX Morandi
Nov 19, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Robert W MolinariRyan W McAssey
Mar 30, 2013·Neurosurgery·Timothy C RykenBeverly C Walters
Oct 2, 2013·The Spine Journal : Official Journal of the North American Spine Society·Christopher K KeplerKristen E Radcliff
Oct 4, 2014·Clinical Neurology and Neurosurgery·K VasudevanA A Oyelese
Jun 14, 2012·Orthopedics·John C FranceDina L Jones
Oct 15, 2013·ANZ Journal of Surgery·David SimeRussell Gruen
Jan 8, 2014·The Bone & Joint Journal·M VenkatesanJ R Braybrooke
Apr 1, 2014·BioMed Research International·Yohan RobinsonClaes Olerud
Aug 20, 2016·Journal of Neurosurgery. Spine·Christopher S GraffeoMichelle J Clarke
Oct 1, 2016·Current Reviews in Musculoskeletal Medicine·Megan E Gornet, Michael P Kelly
Dec 2, 2015·Geriatric Orthopaedic Surgery & Rehabilitation·Brandon Raudenbush, Robert W Molinari
Dec 2, 2016·Clinical Spine Surgery : a Spine Publication·J Mason DePasseAlan H Daniels
Mar 1, 2018·British Journal of Neurosurgery·George Edward PeckMichael Fertleman
Aug 10, 2018·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Roel F M R KerstenSteven M van Gaalen
Oct 9, 2018·ANZ Journal of Surgery·Ali R BokhariNathan Hartin
Oct 15, 2010·Spine·James S HarropPaul A Anderson
Aug 11, 2011·Clinical Orthopaedics and Related Research·Amar PatelAlexander R Vaccaro
Jul 12, 2016·Neurosurgery·Christopher S GraffeoMichelle J Clarke
Mar 30, 2019·Clinical Spine Surgery : a Spine Publication·Lauren LeddyJoseph S Butler
Sep 18, 2015·Neurosurgery·Gregory D SchroederAlexander R Vaccaro
Aug 3, 2020·Injury·Kelechi EseonuPanos Liantis
Feb 23, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Timothy LukinsRichard D Ferch

Related Concepts

Trending Feeds

Metabolic Syndrome & T2DM

Metabolic syndrome is a complex disorder characterized by a cluster of metabolic abnormalities including hypertension, obesity, type 2 diabetes, and dyslipidemia. Here is the latest research on metabolic syndrome and type 2 diabetes mellitus.

CRISPR Screens in Virology

This feed focuses on the application of CRISPR-Cas system in high-throughput genome-wide screens to identify genes that affect virus-host interactions. Here is the latest research.

Cryogenic Electron Microscopy

Cryogenic electron microscopy (Cryo-EM) allows the determination of biological macromolecules and their assemblies at a near-atomic resolution. Here is the latest research.

Crispr In Malaria

CRISPR-Cas system enables the editing of genes to create or correct mutations. This technology is being investigated to combat malaria by targeting specific stretches of vector DNA and editing the genome at precise locations. Here is the latest research.

RNA & Axonal Functions

This feed focuses on subcellular and translation regulation of RNA in Axons and how this influences Axonal Functions. Discover the latest research here.

CRISPR & Single Cell Analyses

CRISPR-Cas system enables the editing of genes to create or correct mutations. This feed focuses on CRISPR-Cas applications relevant to single cell analyses. Here is the latest research.

Olfactory Navigation

This feed focuses on the impact of smell and space perception, as well as mechanisms that underlie navigation behaviour in animals. Here is the latest research on olfactory navigation.

Riboswitches and Ribozymes

Ribozymes are catalytic RNAs that interact with a variety of small molecule substrates and cofactors, the intracellular abundance of which are sensed by riboswitches that modulate transcription, RNA stability, or translation. Here is the latest research.

Enzyme Evolution

This feed focuses on molecular models of enzyme evolution and new approaches (such as adaptive laboratory evolution) to metabolic engineering of microorganisms. Here is the latest research.