TY - JOUR
T1 - Trends in surgical management for type II odontoid fracture
T2 - 20 Years of experience at a regional spinal cord injury center
AU - Smith, Harvey E.
AU - Vaccaro, Alexander R.
AU - Maltenfort, Mitchell
AU - Albert, Todd J.
AU - Hilibrand, Alan S.
AU - Anderson, D. Greg
AU - Harrop, James
AU - Fehlings, Michael G.
AU - Kopjar, Branko
AU - Brodke, Darrel S.
AU - Arnold, Paul M.
AU - Shaffrey, Christopher I.
PY - 2008/7
Y1 - 2008/7
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84875851222&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84875851222&partnerID=8YFLogxK
M3 - Review article
C2 - 19292388
AN - SCOPUS:84875851222
SN - 0147-7447
VL - 31
JO - Orthopedics
JF - Orthopedics
IS - 7
ER -