Controversies in the Management of Geriatric Odontoid Fractures.

摘要: Fractures of the odontoid process C2 have become increasingly prevalent in aging population and are typically associated with a high incidence morbidity. Dens fractures comprise majority all cervical patients older than 80 years remain most common fracture pattern geriatric patients. Type II been limited healing potential, both nonoperative operative management mortality rates. Historically, there has some debate literature regards to optimal strategies maximize outcomes Recent, high-quality evidence indicated that surgical treatment type elderly is improvements short- long-term mortality. Additionally, intervention shown improve functional when compared nonsurgical treatment. Factors consider before surgery for include comorbidities safety general anesthesia administration. With appropriate measures patient selection, can provide an efficacious option fractures. We recommend via posterior C1-C2 arthrodesis fractures, provided itself does not represent unreasonable risk