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Verfasst von:Kreinest, Michael [VerfasserIn]   i
 Raisch, Philipp [VerfasserIn]   i
 Hörnig, Lukas [VerfasserIn]   i
 Vetter, Sven Y. [VerfasserIn]   i
 Grützner, Paul Alfred [VerfasserIn]   i
 Jung, Matthias [VerfasserIn]   i
Titel:Odontoid fracture with accompanying severe atlantoaxial instability in elderly patients
Titelzusatz:analysis of treatment, adverse events, and outcome
Verf.angabe:Michael Kreinest, Philipp Raisch, Lukas Hörnig, Sven Y. Vetter, Paul A. Grützner and Matthias K. Jung
E-Jahr:2024
Jahr:26 February 2024
Umfang:12 S.
Illustrationen:Illustrationen
Fussnoten:Gesehen am 14.05.2024
Titel Quelle:Enthalten in: Journal of Clinical Medicine
Ort Quelle:Basel : MDPI, 2012
Jahr Quelle:2024
Band/Heft Quelle:13(2024), 5, Artikel-ID 1326, Seite 1-12
ISSN Quelle:2077-0383
Abstract:(1) Background: In elderly patients with type II odontoid fractures, accompanying severe atlantoaxial instability (AAI) is discussed as a marker possibly warranting more aggressive surgical therapy. This study aimed to characterize adverse events as well as the radiological and functional outcomes of surgical vs. conservative therapy in patients with odontoid fracture and AAI. (2) Methods: Patients aged 65 years and older with type II odontoid fracture and AAI treated were included. AAI was assumed if the mean subluxation across both atlantoaxial facet joints in the sagittal plane was greater than 50%. Data on demographics, comorbidities, treatment, adverse events, radiological, and functional outcomes were analyzed. (3) Results: Thirty-nine patients were included. Hospitalization time was significantly shorter in conservatively treated patients compared to patients with ventral or dorsal surgery. Adverse events occurred in 11 patients (28.2%), affecting 10 surgically treated patients (35.7%), and 1 conservatively treated patient (9.1%). Moreover, 25 patients were followed-up (64.1%). One secondary dislocation occurred in the conservative group (11.1%) and three in the surgical group (18.8%). (4) Conclusions: Despite the potential for instability in this injury, conservative treatment does not seem to lead to unfavorable short-term results, less adverse events, and a shorter hospital stay and should thus be considered and discussed with patients as a treatment option, even in the presence of severe AAI.
DOI:doi:10.3390/jcm13051326
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3390/jcm13051326
 kostenfrei: Volltext: https://www.mdpi.com/2077-0383/13/5/1326
 DOI: https://doi.org/10.3390/jcm13051326
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:atlantoaxial instability
 cervical spine fracture
 elderly
 geriatric
 odontoid fracture
K10plus-PPN:1888459565
Verknüpfungen:→ Zeitschrift

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