Reliability of treating asymptomatic traumatic type II dens fractures in patients over age 80: A retrospective series.

摘要: Background: Management of type II odontoid fractures in elderly remains controversial to whether surgical treatment is favored over conservative one. This a study geriatric patients with asymptomatic dens who after sustaining fall were initially evaluated at community hospitals. They placed rigid collar and followed up spine clinic. Purpose: To assess the reliability treating very old fracture conservatively intervention if needed would affect clinical outcome. Study Design: Retrospective literature review. Patient Sample: Consecutive above 80 years age, sustained clinically observed plan, was initiated. Outcome Measures: measures included self-reported worsening neck pain, neurological function, radiographic follow-up period. Materials Methods: A retrospective analysis 5 active fracture. After evaluating them, options discussed their family members. The decision continue follow them closely since they reluctant undergo any procedure. Results: Patients for an average 29 months. deficit, or deterioration on imaging studies. At last follow-up, 2 continued be asymptomatic, 3 rd died unrelated causes while others required surgeries least 1-year post injury. Conclusions: Treatment controversial. Independent are presentation may safe brace serial X-ray. Converting can done safely when without affecting overall out.