Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (15): 2424-2431.doi: 10.3969/j.issn.2095-4344.2017.15.023

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Type ll odontoid fractures in the elderly: surgical or conservative method?

Du Shi-yao, Ni Bin   

  1. Department of Orthopedics, Shanghai Changzheng Hospital Affiliated to the Second Military Medical University, Shanghai 200003, China
  • Online:2017-05-28 Published:2017-06-07
  • Contact: Ni Bin, Department of Orthopedics, Shanghai Changzheng Hospital Affiliated to the Second Military Medical University, Shanghai 200003, China
  • About author:Du Shi-yao, Master, Physician, Department of Orthopedics, Shanghai Changzheng Hospital Affiliated to the Second Military Medical University, Shanghai 200003, China
  • Supported by:

    the General Project of National Natural Science Foundation of China, No. 81472127

Abstract:

BACKGROUND: Upper cervical spine fractures are easy to lead to severe neurologic dysfunction in the elderly, and along with social progress, the incidence is on the rise. However, the diagnosis and treatment of type ll odontoid fractures in senile patients remain controversial.

OBJECTIVE: To review the classification, treatment methods and clinical outcomes of type ll odontoid fractures in elderly patients.
METHODS: A computer-based online search was performed in the PubMed and Wanfang databases for the articles concerning the diagnosis and treatment of type ll odontoid fractures in the elderly published from January 1996 to July 2016. The keywords were “odontoid fracture, elderly, treatment, conservative, surgical” in English and Chinese, respectively.
RESULTS AND CONCLUSION: (1) The treatment goals of type ll odontoid fractures are different between elderly and young patients. (2) The incidence of nonunion in the conservative approach is higher than that in the surgical treatment, but for elderly patients, it makes no difference. (3) No significant differences are found in the incidence of complications and mortality between conservative and surgical methods in the elderly with type ll odontoid fractures. (4) Minimally invasive surgery is commended for the elderly suffering type ll fractures who cannot tolerate the conservative approach due to poor conditions or accompanied with other serious heart and lung diseases.

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程

Key words: Cervical Vertebrae, Odontoid Process, Fractures, Bone, Surgical Procedures, Minimally Invasive, Tissue Engineering

CLC Number: