Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Skeletal Radiology
Published in: Skeletal Radiology 11/2018

01-11-2018 | Scientific Article

Non-union rate of type II and III odontoid fractures in CPPD versus a control population

Authors: Aaron Wold, Jonelle Petscavage-Thomas, Eric A. Walker

Published in: Skeletal Radiology | Issue 11/2018

Login to get access

Abstract

Objective

The objective was to determine if there is a significant difference between rates of non-union of type II and III odontoid fractures in patients with calcium pyrophosphate dihydrate deposition (CPPD) compared with a control population.

Materials and methods

A 10-year retrospective picture archive and communications system review was performed of 31 CPPD patients and 31 control patients. Imaging studies were reviewed for radiographic or CT evidence of osseous union and complications.

Results

There was a significant difference in the rates of non-union between the two groups, with the non-union rate reaching 90.3% in the CPPD group and 32% in the control group. Comparing the degree of displacement and angulation of the two groups did not show a significant difference.

Conclusion

The results indicate that odontoid fracture non-union rates are significantly higher in CPPD patients and should be taken into consideration when diagnosing odontoid fractures and deciding on appropriate treatment.
Literature
1.
Boyarsky I. C2 fractures treatment and management. Emedicine.medscape.com/article/1267150. Accessed 15 January 2017.
2.
Ryan M, Henderson J. The epidemiology of fractures and fracture—dislocations of the cervical spine. Injury. 1992;23(1):38–40.CrossRefPubMed
3.
Anderson LD, DʼAlonzo RT. Fractures of the odontoid process of the axis. J Bone Joint Surg Am. 1974;56(8):1663–74.CrossRefPubMed
4.
Chang EY, Lim WY, Wolfson T, et al. Frequency of atlantoaxial calcium pyrophosphate dihydrate deposition at CT. Radiology. 2013;269(2):519–24.CrossRefPubMed
5.
Abhishek A, Doherty S, Maciewicz R, Muir K, Zhang W, Doherty M. Chondrocalcinosis is common in the absence of knee involvement. Arthritis Res Ther. 2012;14(5):R205.CrossRefPubMedPubMedCentral
6.
Sekijima Y, Yoshida T, Ikeda S-I. CPPD crystal deposition disease of the cervical spine: a common cause of acute neck pain encountered in the neurology department. J Neurol Sci. 2010;296(1–2):79–82.CrossRefPubMed
7.
Kakitsubata Y, Boutin RD, Theodorou DJ, et al. Calcium pyrophosphate dihydrate crystal deposition in and around the atlantoaxial joint: association with type 2 odontoid fractures in nine patients. Radiology. 2000;216(1):213–9.CrossRefPubMed
8.
Feydy A, Liote F, Carlier R, Chevrot A, Drape J. Cervical spine and crystal-associated diseases: imaging findings. Eur Radiol. 2006;16:459–68.CrossRefPubMed
9.
Bono CM, Schoenfeld AJ, Anderson PA, Harrop JS, France J, Vaccaro AR, et al. Observer variability of radiographic measurements of C2 (axis) fractures. Spine. 2010;35(12):1206–10.CrossRefPubMed
10.
Schnarkowski P, Redei J, Peterfly CG, et al. Tibial shaft fractures: assessment of fracture healing with computed tomography. J Comput Assist Tomogr. 1995;19(5):777–81.CrossRefPubMed
11.
Morshed S. Current options for determining fracture union. Adv Med. 2014;2104:12.
12.
13.
Hsu WK, Anderson PA. Odontoid fractures: update on management. Am Acad Orthop Surg. 2010;18(7):383–94.CrossRef
Metadata
Title
Non-union rate of type II and III odontoid fractures in CPPD versus a control population
Authors
Aaron Wold
Jonelle Petscavage-Thomas
Eric A. Walker
Publication date
01-11-2018
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 11/2018
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-018-2960-2

Other articles of this Issue 11/2018

Skeletal Radiology 11/2018 Go to the issue

Scientific Article

Ultrasound-guided steroid injection for the treatment of de Quervain’s disease: an anatomy-based approach

Scientific Article

MR arthrogram of the postoperative glenoid labrum: normal postoperative appearance versus recurrent tears

Scientific Article

Acute posterior cruciate ligament injuries: effect of location, severity, and associated injuries on surgical management

TEST YOURSELF: QUESTION

Acute right ankle pain in a 9-year-old boy without history of trauma

Scientific Article

Narrowing of ischiofemoral and quadratus femoris spaces in pediatric ischiofemoral impingement

Scientific Article

Ultrasound measurements of axillary recess capsule thickness in unilateral frozen shoulder: study of correlation with MRI measurements