ArticleGlobal spine journal2023
Geriatric Odontoid Fractures: Treatment Algorithms of the German Society for Orthopaedics and Trauma Based on Expert Consensus and a Systematic Review.
Article in Global spine journal, 2023. 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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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Outcomes of odontoid fractures with associated cardiac arrest: retrospective bi-center case series and systematic literature review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Pooled it
- Surgical versus conservative treatment of odontoid fractures in the elderly: A randomized controlled clinical study (SCORE).PloS one · 2025Trial
- The Effect of Hospital Trauma Level on Odds of Non-home Discharge from Hospital Following Dens Fracture.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Anterior Odontoid Screw Fixation: Current Advances in Indications and Techniques.Advances and technical standards in neurosurgery · 2026Review
- MFI-11 Predicts Post-Operative Serious Complications in Patients Undergoing Surgery for Odontoid Fractures.Global spine journal · 2025Article
- [Treatment of geriatric odontoid fractures].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Outcome of Conservative Treatment of Odontoid Fractures in Elderly Patients Over 80 Years Old.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Treatment practices for geriatric type II odontoid fractures - A survey by the European Association of Neurosurgical Societies Spine Section.Brain & spine · 2025Article
- The surgical treatment of upper cervical spine trauma in octogenerians.Brain & spine · 2025Article
- Ununited Mobile Odontoid Fracture: Clinical and Imaging Findings With Subsequent Management: A Case Report.Journal of chiropractic medicine · 2025Article
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSystematic review/expert consensus.
objectivesFractures of the axis represent the most frequent injury of the spine in elderly patients. Both, operative and non-operative treatment are associated with a high rate of complications and mortality. The aim of this article was to summarize the current literature on the management of odontoid fractures in geriatric patients and to weigh it based on an expert consensus process.
methodsIn a joint consensus process, members of the Spine Section of the German Orthopaedic and Trauma Society (DGOU) aimed to formulate recommendations for the diagnostic workup and treatment of odontoid fractures in geriatric patients. Based on the previously published recommendations, this article is an updated version with incorporating a systematic review of the recent literature.
resultsBased on the new data available, the recommendations established in the initial consensus process were adapted.
conclusionsComputed tomography represents the diagnostic standard for patients with suspected injuries of the upper cervical spine. Anderson/D'Alonzo odontoid fractures type 1, non-displaced type 2, and type 3 can be treated conservatively. Even non-unions do not necessarily result in poor clinical outcome. In Anderson/D'Alonzo type 2 fractures, surgical therapy offers the advantage of relatively safe osseous healing with no increased complication rate even in elderly patients and can thus be recommended. In very high aged patients, however, a case-by-case decision should be made. When surgical stabilization of osteoporotic odontoid fractures is indicated, posterior techniques are biomechanically advantageous and can be considered the standard.
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