Conservative Management of Odontoid Peg Fractures, long term follow up.

Autor: Osman A; The Midlands Centre for Spinal Injuries, RJAH Orthopaedic Hospital, Oswestry, Shropshire, SY10 7AG, United Kingdom., Alageli NA; Tripoli Medical Centre, PO Box 80596, Zawia Street Office Tripoli, Libya., Short DJ; The Midlands Centre for Spinal Injuries, Oswestry, Shropshire SY10 7AG, United Kingdom., Masri WSE; The Midlands Centre for Spinal Injuries, Oswestry, Shropshire SY10 7AG, United Kingdom.
Jazyk: angličtina
Zdroj: Journal of clinical orthopaedics and trauma [J Clin Orthop Trauma] 2017 Apr-Jun; Vol. 8 (2), pp. 103-106. Date of Electronic Publication: 2017 Jun 04.
DOI: 10.1016/j.jcot.2017.06.003
Abstrakt: Objective: The aim of the study was to look at the long-term effects of conservative management of odontoid peg fractures.
Methods: We reviewed 48 consecutive patients with type II (32) and 16 type III, odontoid peg fractures. The clinical & radiological outcomes were assessed over an average period of follow up of 8 years. Union rate was determined and we discussed several factors that may affect it. Patients were treated conservatively with an average period of bed rest of 4 weeks followed by bracing for an average of 9 weeks.
Results: Bony union was established in 25 of 32 (78%) type II fractures. Of 7 cases of no bony union 4 were stable probably with fibrous union. 3 remained unstable. In 13 of 16(83%) type III fractures bony union was established. 2 of the 3 with no bony union were considered stable.
Conclusion: Osseous non-union was higher in patients with displacement of >5 mm, but there is no correlation between union and age, gender or angulation of the fracture in both types.
Databáze: MEDLINE
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