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European Spine Journal

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01-05-2012 | Original Article

Rigid cervical collar treatment for geriatric type II odontoid fractures

Authors: Robert W. Molinari, Oner A. Khera, William L. Gruhn, Ryan W. McAssey

Published in: European Spine Journal | Issue 5/2012

Abstract

Purpose

To evaluate fracture healing, functional outcomes, complications, and mortality associated with rigid cervical collars.

Methods

Thirty-four patients with <50% odontoid displacement were treated with a rigid cervical collar for 12 weeks (Average age = 84 years). Outcome scores were compared with a group of 40 age-matched control subjects (Average age 79.3).

Results

At average 14.9-month follow-up, only 6% demonstrated radiographic evidence of fracture healing and 70% had mobile odontoid nonunion. NDI scores indicated only mild disability, pain scores were low, and neither differed significantly from age-matched controls. Mobile odontoid nonunion was not associated with higher levels of disability or neck pain. Mortality rate was 11.8%. Treatment complications occurred in 6% of patients.

Conclusions

Odontoid nonunion and instability are high in geriatric patients treated with a rigid cervical collar. Fracture healing and stability did not correlate with improved outcomes. Outcomes did not differ significantly from age-matched cohorts.

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Title: Rigid cervical collar treatment for geriatric type II odontoid fractures
Authors: Robert W. Molinari
Oner A. Khera
William L. Gruhn
Ryan W. McAssey
Publication date: 01-05-2012
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 5/2012
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-011-2069-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Rigid cervical collar treatment for geriatric type II odontoid fractures

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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