![]() ![]() Surgical management of odontoid fractures at Level one trauma center: A single-center series of 142 cases. How to cite this article: Sawarkar DP, Singh PK, Siddique SA, Agrawal D, Satyarthee GD, Gupta DK, Sinha S, Kale SS, Sharma BS. Keywords: Fusion rate odontoid fracture outcome surgical fixation trauma PF, that has also been associated with an excellent fusion rate, should be reserved for patients where OS fixation has either failed or has not been feasible. The revision surgery rates after OS placement and PF fixation were 7% and 3.5%, respectively.Ĭonclusions: Anterior OS fixation shows excellent fusion rates and should be the first-line management in reduced/non-displaced acute type II (including type IIA) and high type III odontoid fractures as it preserves cervical motion. The latter patients, however, had significant restriction of their neck movements and an overall morbidity of 8.7%. The PF procedures had a better fusion rate (96.5%). One patient died of sub-arachnoid hemorrhage (SAH) that occurred during OS placement. The procedure-related morbidity was 11.7%. OS placement was successful in 82 patients (96.5%) with a fusion rate of 95% (95.8% in type II, 100% in type III, and 75% in type IIA odontoid fractures). The mean follow-up duration was 22 months (range: 6 months-5.4 years). Eighty-five patients (59.9%) with a well-reduced fracture and an intact transverse ligament underwent anterior odontoid screw (OS) placement the other 57 patients (40.1%) underwent posterior fixation (PF). 58.5% patients had been involved in a motor vehicular accident while 38.7% had sustained a fall. Results: Among 142 patients, type II odontoid fractures were present in 111, type IIA fractures in 8, and type III fractures in 23 patients. Materials and Methods: Patients with an odontoid fracture, admitted for surgical stabilization, between January 2008 and March 2014, were included in the study. The present study was carried out to focus on the nuances involved in the surgical management of odontoid fractures. Introduction : Odontoid fractures constitute 9-20% of all adult cervical spine fractures. ![]()
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