Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/13603
Title: Treatment of type-two odontoid fractures in halothoracic vests.
Authors: Stoney, J;O'Brien, J;Wilde, P
Affiliation: Austin and Repatriation Medical Centre, University of Melbourne, Heidelberg, Australia.
Issue Date: 1-May-1998
Citation: The Journal of Bone and Joint Surgery. British Volume; 80(3): 452-5
Abstract: We treated 22 patients with type-two odontoid fractures in halothoracic vests for six to eight weeks followed by a Philadelphia collar for four weeks. Eighteen patients were reviewed by questionnaire and radiography at a mean of 40 months after injury. We assessed union, fracture position, the degree of permanent pain and stiffness, satisfaction with the treatment and the outcome. The overall union rate was 82%. Posterior malunion with residual posterior displacement or angulation was associated with a higher incidence of persisting pain. The position at union did not correlate with the residual cervical stiffness. Fractures failed to unite in four patients (18%) none of whom had late neurological sequelae, although they had more late pain. There were associations between the development of nonunion and an extension-type injury, age over 65 years and delay in diagnosis.
Internal ID Number: 9619935
URI: http://ahro.austin.org.au/austinjspui/handle/1/13603
URL: http://www.ncbi.nlm.nih.gov/pubmed/9619935
Type: Journal Article
Subjects: Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Braces
Dislocations.etiology
External Fixators
Female
Follow-Up Studies
Fracture Fixation.instrumentation
Fracture Healing
Fractures, Malunited.etiology
Fractures, Ununited.etiology
Humans
Incidence
Male
Middle Aged
Odontoid Process.injuries.radiography.surgery
Pain.etiology
Patient Satisfaction
Questionnaires
Spinal Diseases.etiology
Spinal Fractures.classification.radiography.surgery
Time Factors
Treatment Outcome
Appears in Collections:Journal articles

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