Dorsal instrumentation may offer some advantages.ĭue to demographic changes, the number of geriatric trauma patients is constantly increasing. Geriatric patients with odontoid fracture require individual treatment planning. There was no significant difference in complications. The patients with dorsal instrumentation were hospitalized significantly longer however, their duration at the ICU was shortest. The trabecular bone fracture healing rate was 78.6%. Other directions of motion were not significantly different. Patients with dorsal instrumentation had a better rotation. ResultsĪ total of 72 patients were included and 43 patients could be re-examined (range: 2.7 ± 2.1 months). Furthermore, demographic patient data, neurological status, length of stay at the hospital and at the intensive care unit (ICU) as well as the duration of surgery and occurring complications were analyzed. At a follow-up examination, the range of motion and the trabecular bone fracture healing rate were evaluated. Three groups were compared: conservative treatment, surgical therapy with ventral screw osteosynthesis or dorsal instrumentation. Included were patients with the following criteria: age ≥ 65 years, identification of seniors at risk (ISAR score ≥ 2), and odontoid fracture type A/B according to Eysel and Roosen. The aim of this study was to compare the treatment options for geriatric odontoid fractures. Different treatment options are discussed for geriatric odontoid fracture.
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