ArticleBioMed research international2017
C2 Fracture Subtypes, Incidence, and Treatment Allocation Change with Age: A Retrospective Cohort Study of 233 Consecutive Cases.
Article in BioMed research international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.
- Management of Atypical Hangman's Fracture (C2 Axis): Systematic Review of Classification, Treatment Strategies, and Clinical Outcomes.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Surgical versus conservative management of Hangman's fractures: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Surgical versus conservative treatment of odontoid fractures in the elderly: A randomized controlled clinical study (SCORE).PloS one · 2025Trial
- Characteristics and Management of Emergency Department Patients Presenting with C2 Cervical Spine Fractures.BioMed research international · 2019Trial
- Trial
- Painful and weak shoulder following a generalized seizure: a missed odontoid fracture causing central cord compression-a case report.Journal of medical case reports · 2026Article
- Concomitant odontoid and cervicothoracic junction fractures in an elderly patient: A rare case report.Surgical neurology international · 2026Article
- Low-cost Posterior C1-C2 Fusion Using Sublaminar Wiring in Neurologically Intact Young Patient with Type IIA Odontoid Fracture: A Resource-oriented Approach.Journal of neurological surgery reports · 2025Article
- Ununited Mobile Odontoid Fracture: Clinical and Imaging Findings With Subsequent Management: A Case Report.Journal of chiropractic medicine · 2025Article
- Two-stage surgical approach for type III odontoid fracture with C1-C2 fracture dislocation: a case report and management overview.Annals of medicine and surgery (2012) · 2024Article
- Odontoid Fractures: A Review of the Current State of the Art.Journal of clinical medicine · 2024Review
- Odontoid fractures in the pediatric population: a systematic review and management algorithm.Journal of children's orthopaedics · 2024Review
- The epidemiology of odontoid fractures: a study from the Swedish fracture register.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 · 2024Article
- C1-C2 Transarticular Anterior Fixation for the Treatment of Atlantoaxial Traumatic Dislocation: A Clinical Case.Revista brasileira de ortopedia · 2024Article
- Using Frailty Measures to Predict Functional Outcomes and Mortality After Type II Odontoid Fracture in Elderly Patients: A Retrospective Cohort Study.Global spine journal · 2024Article
- Artificial neural networks for the detection of odontoid fractures using the Konstanz Information Miner Analytics Platform.Asian spine journal · 2024Article
- Risk factors for in-hospital mortality in geriatric patients aged 80 and older with axis fractures: a nationwide, cross-sectional analysis of concomitant injuries, comorbidities, and treatment strategies in 10,077 cases.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 · 2024Article
- Clinical and Radiological Outcomes of Halo Vest Application for Type II and III Odontoid Fractures.International journal of general medicine · 2024Article
- Management of C2 fractures following multiple classifications, a narrative review.Brain & spine · 2024Review
- Analysis of Three-Dimensional Bone Microarchitecture of the Axis Exposes Pronounced Regional Heterogeneity Associated with Clinical Fracture Patterns.Calcified tissue international · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The currently available data on the distribution of C2 fracture subtypes is sparse. This study was designed to identify the proportions of the second cervical vertebra (C2) fracture subtypes and to present age and gender specific incidences of subgroups. A dataset of all patients treated between 2002 and 2014 for C2 fractures was extracted from the regional hospital information system. C2 fractures were classified into odontoid fractures types 1, 2, and 3, Hangman's fractures types 1, 2, and 3, and atypical C2 fractures. 233 patients (female 51%, age 72 ± 19 years) were treated for a C2 fracture. Odontoid fractures were found in 183 patients, of which 2 were type 1, 127 type 2, and 54 type 3, while 26 of C2 fractures were Hangman's fractures and 24 were atypical C2 fractures. In the geriatric subgroup 89% of all C2 fractures were odontoid, of which 71% were type 2 and 29% type 3. There was an increasing incidence of odontoid fractures types 2 and 3 from 2002 to 2014. 40% of C2 fractures were treated surgically. This study presents reliable subset proportions of C2 fractures in a prospectively collected regional cohort. Knowledge of these proportions facilitates future epidemiological studies of C2 fractures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.