Rigid cervical collar treatment for geriatric type II odontoid fractures
| Autor: | Ryan W. McAssey, Robert W. Molinari, Oner A. Khera, William L. Gruhn |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Orthotic Devices Bone healing Fractures Bone Odontoid Process medicine Humans Orthopedics and Sports Medicine Fractures Malunited Geriatric Assessment Aged Odontoid process Aged 80 and over Fracture Healing business.industry Incidence Follow up studies Geriatric assessment Orthotic device Surgery Radiography medicine.anatomical_structure Treatment Outcome Case-Control Studies Cervical Vertebrae Cervical collar Female Original Article Neurosurgery business Cervical vertebrae Follow-Up Studies |
| Zdroj: | European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 21(5) |
| ISSN: | 1432-0932 |
| Popis: | To evaluate fracture healing, functional outcomes, complications, and mortality associated with rigid cervical collars.Thirty-four patients with50% odontoid displacement were treated with a rigid cervical collar for 12 weeks (Average age = 84 years). Outcome scores were compared with a group of 40 age-matched control subjects (Average age 79.3).At average 14.9-month follow-up, only 6% demonstrated radiographic evidence of fracture healing and 70% had mobile odontoid nonunion. NDI scores indicated only mild disability, pain scores were low, and neither differed significantly from age-matched controls. Mobile odontoid nonunion was not associated with higher levels of disability or neck pain. Mortality rate was 11.8%. Treatment complications occurred in 6% of patients.Odontoid nonunion and instability are high in geriatric patients treated with a rigid cervical collar. Fracture healing and stability did not correlate with improved outcomes. Outcomes did not differ significantly from age-matched cohorts. |
| Databáze: | OpenAIRE |
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