Treatment of odontoid fractures: A clinical challenge and reality
Journal Title: National Journal of Clinical Orthopaedics - Year 2017, Vol 1, Issue 2
Abstract
Of all the injuries to the spine, the cervical spine injuries have been the most feared because of its potential to lead to deleterious complications. It has been noted that there is a correlation between the level of spinal injury and morbidity / mortality. The higher the level of cervical injury, the higher will be the morbidity / mortality. Injuries of the craniocervical junction are the deadliest. It has been observed practically that approximately 10% of patients who present in an unconscious state to the emergency department following a motor vehicle accident have a pathology in the cervical spine. Motor vehicle accidents and falls are seen to be responsible for C2 fractures [1]. Clinically, the manifestations may range from asymptomatic to frank paralysis. Among adults, odontoid fractures have been accounted for 9% to 15% of cervical spine fractures [2]. These fractures are usually a result of low energy impacts like falls in elderly people or of high energy impacts like motor vehicle accidents in the young and middle aged people [3, 4, 5]. Odontoid fractures are the most common cervical spine fractures among the elderly aged between 70 - 80 years [5]. The male to female distribution is equal for both populations. This article describes in brief the most common types of C2 fractures and its present treatment, the advancements to me made in the treatment of odontoid fractures and the challenges a surgeon faces in the day to day clinical practise in treating different types of odontoid fractures.
Authors and Affiliations
Dr. Syeeduddin Kutbe
Keywords
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