ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016
Anterior transarticular atlantoaxial screw fixation in combination with dens screw fixation for type II odontoid fractures with associated atlanto-odontoid osteoarthritis.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- The optimal treatment of type II and III odontoid fractures in the elderly: an updated meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Pooled it
- Letter to editor: A new classification of atlas fracture based on computed tomography: reliability, reproducibility, and preliminary clinical significance.Asian spine journal · 2025Article
- A new classification of atlas fracture based on computed tomography: reliability, reproducibility, and preliminary clinical significance.Asian spine journal · 2025Article
- C1-C2 Transarticular Anterior Fixation for the Treatment of Atlantoaxial Traumatic Dislocation: A Clinical Case.Revista brasileira de ortopedia · 2024Article
- Anterior Transarticular Crossing Screw Fixation for Atlantoaxial Joint Instability: A Biomechanical Study.Neurospine · 2023Article
- Combined Odontoid (C2) and Atlas (C1) Fractures in Geriatric Patients: A Systematic Review and Treatment Recommendation.Global spine journal · 2023Article
- Article
- The Anterior Transarticular Fixation of C1/C2 in the Elderly With Dens Fractures.International journal of spine surgery · 2020Article
- Osteoporotic vertebral body fractures of the thoracolumbar spine: indications and techniques of a 360°-stabilization.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Review
- Does Radiographic Union Matter? Clinical Outcomes After Anterior Odontoid Screw Fixation in Elderly Patients.In vivo (Athens, Greece)Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to evaluate the 1-year outcome after anterior transarticular atlantoaxial fixation and odontoid fusion (TAFOF) for type II odontoid fractures and atlanto-odontoid osteoarthritis (AO) in elderly patients.
methodsAll geriatric patients, age 70 or older, with acute traumatic type II odontoid fractures and moderate or severe AO treated by TAFOF were included. The study was performed at a single institution between June 2008 and August 2013. Patients were evaluated clinically and radiologically after 1 year. Main parameter of interest were in-hospital and 1-year mortality rates, complication rates (re-operations, prolonged hospital stay, blood transfusion; non-union), and the patients' pain (0: no pain; 10: maximal pain) and satisfaction level (0: lowest satisfaction; 10: highest satisfaction) after 1 year.
resultsA total of 83 patients were included with an average age of 84.7 years (range 70-101 years). 39 patients were subdivided as "old" with an age 70-84 years and 44 patients were defined as "very old" with an age of 85 or higher. The average operation time was 64.7 min. Three patients died during the inpatient stay (3.6 %). Twenty patients (24.1 %) were lost contact follow-up. The 1-year mortality was 25.4 % with a significantly higher mortality rate in very old patient group (p = 0.01). At the 1-year follow-up, the mean pain level was 3.3 and the mean patient satisfaction level was 6.5. Osseous consolidation of the dens was visible in 90.2 % of patients. Revision surgery was performed in three patients (3.6 %). Generally, a significantly higher complication rate was seen after single-screw fixation of the dens compared to a double-screw fixation in combination with TAF (p = 0.042).
conclusionsAnterior TAFOF leads to promising 1-year results with low in-hospital mortality and a high fusion rate in geriatric patients with type II odontoid fractures and relevant AO. Double-screw dens fixation seems to reduce the complication rate.
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