Spinal Fractures
Conditions
Brief summary
The management of type II odontoid fractures in geriatric trauma victims remains a source of substantial controversy. The purpose of this study was to compare anterior screw fixation with halo-vest-immobilization in patients with type II odontoid fractures.
Interventions
OTHERANTERIOR SCREW FIXATION
Patients aged 65 years or older with an ASA score of 2 or higher who had undergone anterior screw fixation of type II odontoid fractures
OTHERHALOV VEST IMMOBILIZATION
Patients aged 65 years or older with an ASA score of 2 or higher who had undergone halo immobilization of type II odontoid fractures
Sponsors
Medical University of Vienna
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* patients aged 65 years or older with an ASA (= American society of anesthesiologists) score of 2 or higher * complete sets of collected data and a follow-up monitoring of at least five years
Exclusion criteria
* type III odontoid fractures * patients with incomplete data sets * patients with penetrating mechanism of injury or congenital cervical spine anomalies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| neurological deficits | at least 60 months follow up | Neurologic deficits measured including the CSOQ (Cervical Spine Outcome Questionnaire) before and after surgery as well as compared in both procedure groups |
| radiographic outcome (documentation of boney union) | at least 60 months follow up | documentation of boney union compared in both procedure groups |
Outcome results
None listed