Trends in surgical management for type II odontoid fracture: 20 Years of experience at a regional spinal cord injury center

Harvey E. Smith, Alexander R. Vaccaro, Mitchell Maltenfort, Todd J. Albert, Alan S. Hilibrand, D. Greg Anderson, James Harrop, Michael G. Fehlings, Branko Kopjar, Darrel S. Brodke, Paul M. Arnold, Christopher I. Shaffrey

Research output: Contribution to journalReview article

Abstract

This study reviewed surgical treatment methods in patients with type II odontoid fracture who were admitted to a level 1 spinal cord injury center during a 20-year period. Of the 186 patients who met inclusion criteria, 75 were treated operatively. The rate of surgical intervention increased during the study period. Length of hospital stay was not related to treatment. Estimated blood loss was significantly higher for posterior techniques. The Brooks technique and anterior odontoid screw fixation declined in frequency, whereas the Magerl technique has been used at a consistent rate since its introduction. The C1 lateral mass and C2 pedicle/isthmus screw technique has increased significantly since its description. Pneumonia, vocal cord, and swallowing problems occurred more often with anterior approaches.

Original languageEnglish (US)
JournalOrthopedics
Volume31
Issue number7
StatePublished - Jul 1 2008
Externally publishedYes

    Fingerprint

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Smith, H. E., Vaccaro, A. R., Maltenfort, M., Albert, T. J., Hilibrand, A. S., Anderson, D. G., Harrop, J., Fehlings, M. G., Kopjar, B., Brodke, D. S., Arnold, P. M., & Shaffrey, C. I. (2008). Trends in surgical management for type II odontoid fracture: 20 Years of experience at a regional spinal cord injury center. Orthopedics, 31(7).