ODONTOID FRACTURES TREATED WITH HALO-JACKET
Keywords:
odontoid fractures, treatmentAbstract
Background. Treatment of odontoid fractures remains controversial. Methods. Late results of 10 patients treated with Halo-jacket from 1995–97 are presented. The displacement bigger than 6 mm was reduced under image intensifier and stabilized by Halo-jacket for 8–12 weeks.
Results. After one year the fracture was rentgenologically consolidated in 8 patients, in all of 10 without neurological deficit, in 4 with reduced range of motion, in 6 without subjective consequences, in 3 painful motion and in 4 cervical stiffness was reported.
Conclusions. The authors recommend semioperative method for treatment of majority of odontoid fractures displaced 6 mm and more, open reduction and internal fixation is necessary in selected cases. Neurological deficit crucially influences the way of treatment.
Downloads
References
Greenberg MS. Spine injuries. In: Greenberg MS ed. Handbook of neurosurgery. 3rd ed. Lokeland, Florida: Greenberg Graphics, 1994: 586–8.
Berlemann V, Schwarzenbach O. Dens fractures in the elderly. Acta Orthop Scand 1997; 68: 319–24.
Komadina R. Zlomi zaradi osteoporoze. Celje: Služba za raziskovalno delo Splošne bolnišnice Celje in Društvo travmatologov Slovenije, 1999: 21–30.
Rusek R, Komadina R, Pilih R. Atlantookcipitalna luksacija. Zdrav Vestn 1990; 59: 313–4.
Anderson LD, D’Alonzo RT. Fractures of the odontoid process of the axis. J Bone Joint Surg 1974; 56 A: 1663–74.
Kokkino AJ, Lazio BE, Perin NI. Ventral fracture of the odontoid process: case report. Neurosurgery 1996; 38: 200–3.
Raber D, Munich T, Morscher E. Spinal pseudoarthrosis. Orthopade 1996; 25: 435–40.
Chiba K, Fujimura Y, Toyama Y et al. Treatment protocol for fractures of the odontoid process. J Spinal Disord 1996; 9: 267–76.
Seybold EA, Bayley JC. Functional outcome of surgically and conservatively managed dens fractures. Spine 1998; 23: 1837–46.
Anon. Neutral Zero Method. Injury 1995; 26: Suppl 1: 1–15.
Polin RS, Szabo T, Bogaev CA et al. Nonoperative management of types II and III odontoid fractures: the Philadelphia collar versus the halo vest. Neurosurgery 1996; 38: 450–7.
Marchesi DG. Management of odontoid fractures. Orthopaedics 1997; 20: 911–6.
Greene KA, Dickman CA, Marciano FF et al. Acute axis fractures. Analysis of management and outcome in 340 consecutive cases. Spine 1997; 22: 1843–52.
Stoney J, O’Brien J, Wilde P. Treatment of type two odontoid fractures in halothoracic vests. J Bone Joint Surg Br 1998; 80: 452–5.
Roth R, Worsdorfer O. Surgical therapy of dens fracture. Zentrall Chir 1998; 123: 914–8.
Kuner E, Schlosser V. Verletzungen der Wirbelsäule. In: Kuner E, Schlosser V eds. Traumatologie. 4th ed. Stuttgart, New York: Thieme, 1988: 286–322.
Downloads
Issue
Section
License
The Author transfers to the Publisher (Slovenian Medical Association) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Slovenian Medical Association) has the right to transfer the rights of acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
