Anterior Screw Fixation Versus Halo Immobilization of Type II Odontoid Fractures in Geriatric Patients With Increased Anesthesia Risk

Medical University of Vienna80 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Spinal Fractures

Interventions

ANTERIOR SCREW FIXATIONOTHER

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

HALOV VEST IMMOBILIZATIONOTHER

Patients aged 65 years or older with an ASA score of 2 or higher who had undergone halo immobilization of type II odontoid fractures

Eligibility

Sex: ALLMin age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

neurological deficits

Neurologic deficits measured including the CSOQ (Cervical Spine Outcome Questionnaire) before and after surgery as well as compared in both procedure groups

Time frame: at least 60 months follow up

radiographic outcome (documentation of boney union)

documentation of boney union compared in both procedure groups

Time frame: at least 60 months follow up

Data from ClinicalTrials.gov

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