ODONTOID FRACTURES TREATED WITH HALO-JACKET
<p><strong>Background</strong>. 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...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
Published: |
Slovenian Medical Association
2001-12-01
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Series: | Zdravniški Vestnik |
Subjects: | |
Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/2518 |
Summary: | <p><strong>Background</strong>. 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.</p><p><strong>Results</strong>. 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.</p><p><strong>Conclusions</strong>. 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.</p> |
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ISSN: | 1318-0347 1581-0224 |