ReviewJournal of clinical medicine2024
Odontoid Fractures: A Review of the Current State of the Art.
Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
15 citing papers in PubMed.
- Matched case-control study of odontoid osteosynthesis vs hard collar immobilisation for Type II odontoid fractures in the elderly: higher risk of adverse events with no long-term functional benefits.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 · 2026Article
- Intraoperative Navigation in Cervical Spine Surgery.Journal of clinical medicine · 2026Review
- The Effect of Hospital Trauma Level on Odds of Non-home Discharge from Hospital Following Dens Fracture.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Operative video of Goel-Harms C1-C2 fusion for atlanto-axial instability secondary to odontoid fracture (Anderson-D' Alonzo II).Surgical neurology international · 2026Article
- Anterior Odontoid Screw Fixation: Current Advances in Indications and Techniques.Advances and technical standards in neurosurgery · 2026Review
- Odontoid base hypodensity and its role in type II fracture risk and nonunion: a CT study.BMC musculoskeletal disorders · 2025Article
- Anterior Odontoid Screw Fixation for Trauma: Case Series and Technical Considerations.Journal of clinical medicine · 2025Article
- Surgical Outcomes of Craniocervical Junction Fractures in Elderly Patients: A Retrospective Single-Center Series.Journal of personalized medicine · 2025Article
- Spinal Cord Injury Epidemiology and Causes: A Worldwide Analysis with 2050 Projections.Healthcare (Basel, Switzerland) · 2025Article
- Chronic type 2 odontoid fracture with atlantoaxial spondyloptosis in an adult: a case report and literature review.Journal of spine surgery (Hong Kong) · 2025Article
- Fatal vertebral artery pseudoaneurysm following intracranial migration of an odontoid screw: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Comprehensive Review of Multidetector Computed Tomography (MDCT) in the Assessment of Blunt Cervical Spine Trauma in Adults.Journal of pharmacy & bioallied sciences · 2025Review
- Ununited Mobile Odontoid Fracture: Clinical and Imaging Findings With Subsequent Management: A Case Report.Journal of chiropractic medicine · 2025Article
- The surgical treatment of upper cervical spine trauma in octogenerians.Brain & spine · 2025Article
- Impact of surgical delay on 30-day reoperation rates and length of stay after anterior fixation of odontoid fractures.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Odontoid fractures (OFs) represent up to 15% of all cervical fractures encountered and present most commonly amongst elderly patients, typically in the setting of low energy trauma such as falls. The Anderson and D'Alonzo classification and Roy-Camille subtype description are the most clinically noteworthy descriptions of OFs used. Even though most patients will not present with neurological injury, mechanical instability can occur with type II and type III (Anderson and D'Alonzo) fractures, particularly if the transverse ligament of the atlas is ruptured; however, this is very rare. Conservative treatment is usually employed for type I and type III injuries, and to a varying degree for non-displaced type II injuries. Surgical treatment is typically reserved for type II fractures, patients with neurological injury, and in the setting of other associated fractures or ligamentous injury. Anterior screw fixation is a viable option in the setting of a favorable fracture line orientation in type II fractures, whereas posterior C1-C2 screw fixation is an option for any type II or type III fracture presentation. There is evidence that surgery for type II fractures has higher rates of union and lower mortality than nonoperative treatments. While surgical options have increased over the decades and the management of OF has been optimized by considering fracture subtypes and patient factors, there remains a significant morbidity and mortality associated with OFs. The aging population and changing demographics suggest that there will be an ongoing rise in the incidence of OFs. Therefore, the appropriate management of these cases will be essential for ensuring optimization of health care resources and the quality of life of affected patients.
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