Clinical and radiological union rate evaluation of type 2 odontoid fractures: A comparison between anterior screw fixation and halo vest in elderly patients

• DOI: 10.4103/jcvjs.jcvjs_93_18
• Publication Date: 2019-04-11T09:45:42Z
• Authors: Federico Fusini; Massimo Girardo; Alessandro Rava; Giosuè Gargiulo; Angela Coniglio; Stefano Artiaco; Alessandro Massè
• Keywords: 03 medical and health sciences; dens fracture; 0302 clinical medicine; RC925-935; Cervical spine; Original Article; screw fixation; Diseases of the musculoskeletal system; halo vest; osteoporosis; 3. Good health

Odontoid fracture is a very common cervical injury, especially in elderly patients. Despite the high frequency, appropriate management still debated. The aim of this study to evaluate clinical and radiological outcomes after anterior screw fixation or halo vest (HV) type II odontoid patients.Between January 2013 December 2015, 135 consecutive patients affected by process were found. According inclusion exclusion criteria, 57 included study. Patients evaluated with visual analog scale (VAS), Smiley-Webster Scale (SWS), Italian Version Neck Disability Index (NDI), patient satisfaction during follow-up. Furthermore, data for bone healing. Student's t-test Fisher's exact test was used between groups, analyzing results, level statistical significance set at P < 0.05.Seventeen female 40 male. Twenty-seven surgical group (SG) while 30 HV mean follow-up 37.74 ± 10.52 months. A significant difference (P 0.05) groups found pseudoarthrosis, lower rate SG. No differences term VAS, NDI, SWS > 0.05); SG reached higher than = 0.0271).Both treatments are equivalent terms outcomes, they valuable choice fracture. However, it must be considered that could slightly tolerate may need change treatment.