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Verfasst von:Lenga, Pavlina [VerfasserIn]   i
 Issa, Mohammed [VerfasserIn]   i
 Krull, Lennart [VerfasserIn]   i
 Kiening, Karl [VerfasserIn]   i
 Unterberg, Andreas [VerfasserIn]   i
 Schneider, Till [VerfasserIn]   i
 Oskouian, Rod J. [VerfasserIn]   i
 Chapman, Jens R. [VerfasserIn]   i
 Ishak, Basem [VerfasserIn]   i
Titel:Radiological features in type II odontoid fractures in older adults after high- and low-energy trauma
Verf.angabe:Pavlina Lenga, Mohammed Issa, Lennart Krull, Karl Kiening, Andreas W. Unterberg, Till Schneider, Rod J. Oskouian, Jens R. Chapman, and Basem Ishak
Jahr:2022
Umfang:8 S.
Fussnoten:Gesehen am 01.06.2022
Titel Quelle:Enthalten in: Global spine journal
Ort Quelle:Thousand Oaks, CA : Sage Publications, 2011
Jahr Quelle:2022
Band/Heft Quelle:(2022), Artikel-ID 21925682221088215, Seite 1-8
ISSN Quelle:2192-5690
Abstract:Study designRetrospective study.ObjectivesAlthough type II odontoid fractures mainly occur due to high-energy trauma (HET), the number of odontoid type II fractures after low-energy trauma (LET) in the elderly is on the rise. However, there is a paucity of conclusive evidence on the relationship between trauma mechanism and cervical spine alignment in the elderly population. Consequently, we examined cervical alignment and osteoporotic and osteoarthritic patterns in elderly individuals (aged ≥65 years) with type II odontoid fractures.MethodsWe retrospectively assessed cervical spine alignment in 76 elderly individuals who experienced type II odontoid fractures after HET (n = 36) and LET (n = 40) between 2005 and 2020. Osteoporotic and osteoarthritic changes on computed tomography and cervical alignment parameters on sagittal plane radiographs were examined.ResultsModerate and severe osteoporosis of the dens-body junction and osteoarthritis of the atlanto-odontoid joint were more prevalent in the LET than the HET group (P<.005). The anterior atlantodental interval (ADI) was significantly smaller in the LET group than in the HET group (.7 [.7] millimeter vs 1.2 [.8] mm; P=.003). An ADI equal 0 mm indicative for anterior fusion of C1/C2 was present in 37.5% of patients of the LET group. The C0-C2 angle, C1-C2 lordosis, and C2-C7 sagittal vertical axis were significantly different (HET vs LET: 33.2 [7.2]° vs 41.6 [11.4]°, P=.005; 28.1 [7.0]° vs 34.0 [8.0]°, P=.002; and 16.1 [11.1] millimeter vs 27.1 [12.4] mm, P=.008; respectively).ConclusionSignificantly higher rates of osteoporotic and degenerative changes were observed after LET. Furthermore, previous cervical malalignment represents a risk factor for type II odontoid fractures after LET.
DOI:doi:10.1177/21925682221088215
URL:kostenfrei: Volltext: https://doi.org/10.1177/21925682221088215
 kostenfrei: Volltext: https://journals.sagepub.com/doi/10.1177/21925682221088215
 DOI: https://doi.org/10.1177/21925682221088215
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:cervical malalignment
 cervical spine
 elderly
 high-energy trauma
 low-energy trauma
 osteoporosis
 trauma
 type II odontoid fractures
K10plus-PPN:1805522132
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