Management of type II odontoid fractures: experience from latin american spine centers

Simple item page
dc.contributor.authorFalavigna, Asdrubal
dc.contributor.authorRighesso, Orlando
dc.contributor.authorGuarise da Silva, Pedro
dc.contributor.authorRocca Siri, Carlos
dc.contributor.authorDaniel, Jefferson
dc.contributor.authorEsteves Veiga, Jose Carlos
dc.contributor.authorBorges Laurindo de Azevedo, Gustavo
dc.contributor.authorCarelli, Luis Eduardo
dc.contributor.authorYurac, Ratko
dc.contributor.authorSanchez Chavez, Felix Adolfo
dc.contributor.authorSfreddo, Ericson
dc.contributor.authorCecchini, Andre
dc.contributor.authorMartins do Reis, Marcelo
dc.contributor.authorJimenez Avila, Jose Maria
dc.contributor.authorRiew, Daniel
dc.date.accessioned2017-10-04T16:19:45Z
dc.date.available2017-10-04T16:19:45Z
dc.date.issued2017
dc.description.abstractOBJECTIVE: To analyze characteristics of type II odontoid fracture (TII-OF), including clinical and radiographic factors, that influence surgical planning in 8 Latin American centers. METHODS: Retrospective chart review was performed of 88 patients with TII-OF between 2004 and 2015 from 8 Latin American centers. Parameters studied included 1) demographic data and causes of TII-OF, 2) clinical and neurologic presentation, 3) characteristics of fracture (degree of odontoid displacement, displacement of odontoid relative to C2 body, anatomy of fracture line, distance between fragments, presence of comminution, contact area between odontoid and C2 body), 4) type of treatment, and 5) clinical and radiographic outcome. Bone fusion was assessed using computed tomography. RESULTS: Mean patient age was 45.33 years ± 23.54; 78.4% of patients were male. Surgery was the primary treatment in 65 patients (73.8%), with an anterior approach in 64.6%. Surgery was usually preferred in patients with posterior or horizontal oblique fracture lines, local pain, and a smaller bone contact surface between the odontoid and the body of C2. A posterior approach was chosen when distance between the fractured bone fragments was >2 mm or after failed conservative or anterior odontoid screw treatment in a symptomatic patient. CONCLUSION: The treatment of choice for TII-OF in 8 Latin American trauma centers was surgery through an anterior approach using screw fixation. Posterior segmental C1-C2 fixation was indicated when distance between bone fragments was >2 mm and in symptomatic patients with nonunion.
dc.format.extent9
dc.identifier.citationWorld Neurosurg. 2017 Feb;98:673-681
dc.identifier.urihttp://hdl.handle.net/11447/1696
dc.identifier.urihttp://dx.doi.org/10.1016/j.wneu.2016.10.120
dc.language.isoen_US
dc.publisherElsevier
dc.subjectConservative treatment
dc.subjectGeriatrics
dc.subjectLatin America
dc.subjectSurgical procedures
dc.subjectType II odontoid fracture
dc.titleManagement of type II odontoid fractures: experience from latin american spine centers
dc.typeArtículo

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Management of Type II Odontoid Fractures Experience from Latin American Spine Centers__2.pdf
Size:
209.4 KB
Format:
Adobe Portable Document Format
Description:
Resumen
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services