Type II odontoid fractures in the elderly: An evidence-based narrative review of management

European Spine Journal

Volumn 20, Issue 2, 2011, Pages 195-204

  Pal, D ^a   Sell, P ^a   Grevitt, M ^a  

^a QUEEN S MEDICAL CENTRE   (United Kingdom)

Author keywords

Cervical spine; Elderly; Fracture; Odontoid

Indexed keywords

BONE SCREW; CERVICAL SPINE INJURY; FIXATION DEVICE; FOLLOW UP; FRACTURE IMMOBILIZATION; FRACTURE TREATMENT; GROUPS BY AGE; HUMAN; HYPOGLOSSAL NERVE; MORBIDITY; MORTALITY; ODONTOID PROCESS FRACTURE; PRIORITY JOURNAL; PROSPECTIVE STUDY; REVIEW; SPINE FRACTURE; SURGICAL PATIENT; TREATMENT OUTCOME; VERTEBRA BODY;

AGED; AGED, 80 AND OVER; EVIDENCE-BASED MEDICINE; FRACTURE FIXATION; HUMANS; ODONTOID PROCESS; SPINAL FRACTURES; TREATMENT OUTCOME;

EID: 79951671765     PISSN: 09406719     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00586-010-1507-6     Document Type: Review

References (81)

1. M Aebi C Etter M Coscia 1989 Fractures of the odontoid process. Treatment with anterior screw fixation Spine 14 1065 1070 1:STN:280: DyaK3c%2FmvFOgtA%3D%3D 2588054 (Pubitemid 19283678)
2. LD Anderson RT D'Alonzo 1974 Fractures of the odontoid process of the axis J Bone Joint Surg Am 56 1663 1674 1:STN:280:DyaE2M%2FlsFOrsA%3D%3D 4434035
3. S Andersson M Rodrigues C Olerud 2000 Odontoid fractures: high complication rate associated with anterior screw fixation in the elderly Eur Spine J 9 56 59 1:STN:280:DC%2BD3c3islWntw%3D%3D 10766078
4. RI Apfelbaum RR Lonser R Veres A Casey 2000 Direct anterior screw fixation for recent and remote odontoid fractures J Neurosurg 93 227 236 1:STN:280:DC%2BD3cvltlyjsA%3D%3D 11012053 (Pubitemid 32800574)
5. ML Appuzo JS Heiden MH Weiss TT Ackerson JP Harvey T Kurze 1978 Acute fractures of the odontoid process. An analysis of 45 cases J Neurosurg 48 1 85 91 (Pubitemid 8260323)
6. DA Bednar J Parikh J Hummel 1995 Management of type II odontoid process fractures in geriatric patients: a prospective study of sequential cohorts with attention to survivorship J Spinal Disord 8 166 169 1:STN:280: DyaK2MzivFyrtg%3D%3D 7606126
7. U Berlemann O Schwarzenbach 1997 Dens fractures in the elderly: results of anterior screw fixation in 19 elderly patients Acta Orthop Scand 68 319 324 1:STN:280:DyaK2svlsFyisw%3D%3D 9310032 (Pubitemid 27397235)
8. J Bohler 1982 Anterior stabilization for acute fractures and non-unions of the dens J Bone Joint Surg Am 64 18 27 1:STN:280:DyaL38%2FpvVahtg%3D%3D 7033229
9. J Bohler 1986 Operative treatment of injuries to cervical spine Orthop Rev 15 1 58 59 1:STN:280:DyaL1c3ns1CqtQ%3D%3D 3453445 (Pubitemid 16203237)
10. HH Bohlmann 1979 Acute fractures and dislocations of the cervical spine: an analysis of three hundred hospitalized patients and review of the literature J Bone Joint Surg 61 1119 1142
11. W Börm E Kast HP Richter, et al. 2003 Anterior screw fixation in Type II odontoid fractures: is there a difference in outcome between age groups Neurosurgery 52 1089 1094 12699551 (Pubitemid 36512972)
12. CR Clark AA White III 1985 Fractures of the dens. A multicenter study J Bone Joint Surg Am 67 1340 1348 1:STN:280:DyaL28%2Fos1Sitw%3D%3D 4077905 (Pubitemid 16184261)
13. TJ Coyne MG Fehlings MC Wallace, et al. 1995 C1-C2 posterior cervical fusion: long-term evaluation of results and efficacy Neurosurgery 37 688 793 1:STN:280:DyaK287hslaitA%3D%3D 8559297
14. A Crockard A Heilman J Stevens 1993 Progressive myelopathy secondary to odontoid fractures: clinical, radiographic and surgical features Neurosurgery 78 579 586 1:STN:280:DyaK3s7psFGlsw%3D%3D (Pubitemid 23099467)
15. BL Currier LT Todd TP Maus DR Fisher MJ Yamzemski 2003 Anatomic relationship of the internal carotid artery to the C1 vertebra: a case report of cervical reconstruction for chordoma and pilot study to assess the risk of screw fixation of the atlas Spine 28 E461 E467 14624095
16. MJ DeVivo PL Kartus SL Stover RD Rutt PR Fine 1987 Seven-year survival following spinal cord injury Arch Neurol 44 872 875 1:STN:280: DyaL2szisFOlsA%3D%3D 3632399
17. CA Dickman VK Sontagg 1998 Posterior C1-C2 Transarticular screw fixation for atlantoaxial arthrodesis Neurosurgery 43 2 275 280 1:STN:280: DyaK1czlvFaluw%3D%3D 9696080
18. BJ Doherty MH Heggeness SI Esses 1993 A biomechanical study of odontoid fractures and fracture fixation Spine 18 178 184 1:STN:280:DyaK3s7otFOmuw%3D%3D 8441931 (Pubitemid 23063152)
19. ME Dunn EL Seljeskog 1986 Experience in the management of odontoid process injuries: an analysis of 128 cases Neurosurgery 18 306 310 1:STN:280:DyaL283gtl2qtQ%3D%3D 3703189 (Pubitemid 16139384)
20. NA Ebraheim JR Misson R Xu RA Yeasting 2000 The optimal transarticular c1-2 screw length and the location of the hypoglossal nerve? Surg Neurol 53 3 208 210 1:STN:280:DC%2BD3c3jsl2mtg%3D%3D 10773250 (Pubitemid 30201523)
21. CE Ekong ML Schwartz CH Tator, et al. 1981 Odontoid fracture: management with early mobilization using the halo device Neurosurgery 9 631 637 1:STN:280:DyaL387gsVartw%3D%3D 7322328 (Pubitemid 12196162)
22. DR Fassett JS Harrop M Maltenfort, et al. 2007 Mortality rates in geriatric patients with spinal cord injuries J Neurosurg Spine 7 3 277 281 17877260 (Pubitemid 47480451)
23. TM Frangen C Zilkens G Muhr C Schinkel 2007 Odontoid fractures in the elderly: dorsal C1/C2 fusion is superior to halo-vest immobilization J Trauma 63 83 89 17622873 (Pubitemid 47057566)
24. WE Gallie 1939 Fractures and dislocations of the cervical spine Am J Surg 3 495 499
25. JA Glaser R Whitehill WG Stamp JA Jane 1986 Complications associated with the halo-vest. A review of 245 cases J Neurosurg 65 762 769 1:STN:280:DyaL2s%2FjsFygug%3D%3D 3772473 (Pubitemid 17187411)
26. A Goel V Leheri 1994 Plate and screw fixation for atlanto-axial subluxation Acta Neurochir 129 47 53 1:STN:280:DyaK2M%2FptFWgtA%3D%3D (Pubitemid 24225619)
27. A Goel KI Desai DP Muzumdar 2002 Atlantoaxial fixation using plate and screw method: a report of 160 treated patients Neurosurgery 51 1351 1357 12445339 (Pubitemid 36098682)
28. JN Grauer B Shafi AS Hilibrand, et al. 2005 Proposal of a modified, treatment-oriented classification of odontoid fractures Spine J 5 123 129 15749611 (Pubitemid 40331431)
29. G Graziano C Jaggers M Lee, et al. 1993 A comparative study of fixation techniques for Type II fractures of the odontoid process Spine 18 2383 2387 1:STN:280:DyaK2c7jsFCnsg%3D%3D 8303437 (Pubitemid 24001343)
30. KA Greene CA Dickman FF Marciano J Drabier BP Drayer VK Sonntag 1994 Transverse atlantal ligament disruption associated with odontoid fractures Spine 19 2307 2314 1:STN:280:DyaK2M7kvFWkug%3D%3D 7846576 (Pubitemid 24329154)
31. MN Hadley CM Browner SS Liu, et al. 1988 New subtype of acute odontoid fractures (type IIA) Neurosurgery 22 67 71 1:STN:280:DyaL1c7ktlemtw%3D%3D 3344089 (Pubitemid 18056869)
32. MN Hadley CA Dickman CM Browner, et al. 1989 Acute axis fractures: a review of 229 cases J Neurosurg 71 642 647 1:STN:280:DyaK3c%2FjvFGitQ%3D%3D 2809718 (Pubitemid 19275759)
33. Hagen S (1999) CBO memorandum: projections of expenditures for long-term care services for the elderly. Congressional Budget Office, Washington, DC
34. WC Hanigan FC Powell PW Elwood, et al. 1993 Odontoid fractures in elderly patients J Neurosurg 78 32 35 1:STN:280:DyaK3s%2FpsVyrug%3D%3D 8416239 (Pubitemid 23005350)
35. J Harms RP Melcher 2001 Posterior C1-C2 fusion with polyaxial screw and rod fixation Spine 26 2467 2471 1:STN:280:DC%2BD3MnlsV2isA%3D%3D 11707712 (Pubitemid 33065058)
36. JS Harrop AD Sharan GJ Przybylski 2000 Epidemiology of spinal cord injury after acute odontoid fractures Neurosurg Focus 8 6 e4 1:STN:280: DC%2BD28vjvVWlsQ%3D%3D 16859273
37. JS Harrop GJ Przybylski AR Vaccaro, et al. 2000 Efficacy of anterior odontoid screw fixation in elderly patients with Type II odontoid fractures Neurosurg Focus 8 6 e6 1:STN:280:DC%2BD28vjvVWltw%3D%3D 16859275
38. R Hart A Saterbak T Rapp C Clark 2000 Nonoperative management of dens fracture nonunion in elderly patients without myelopathy Spine 25 11 1339 1343 1:STN:280:DC%2BD3c3ptFensg%3D%3D 10828914 (Pubitemid 30353817)
39. E Horn N Theodore I Feiz-Erfan GP Lekovic C Dickman VKH Sonntag 2006 Complications of halo fixation in the elderly J Neurosurg Spine 5 46 49 16850955 (Pubitemid 47325413)
40. AN Irwin M Arthur RJ Mullins RA Hart 2004 Variations in injury patterns, treatment and outcome for spinal fractures and paralysis in adult versus geriatric patients Spine 29 796 802 15087803 (Pubitemid 38437529)
41. AP Jackson MH Haak N Khan PR Meyer 2005 Cervical spine injuries in the elderly: acute postoperative mortality Spine 30 1524 1527 15990667 (Pubitemid 40979744)
42. B Jeanneret F Magerl 1992 Primary posterior fusion C1/2 in odontoid fractures: indications, technique, and results of transarticular screw fixation J Spinal Disord 5 464 475 1:STN:280:DyaK3s7ksVyntg%3D%3D 1490045 (Pubitemid 23001672)
43. JD Jenkins D Coric CL Branch 1998 A clinical comparison of one- and two-screw odontoid fixation J Neurosurg 89 366 370 1:STN:280: DyaK1czovFGjsw%3D%3D 9724108 (Pubitemid 28405248)
44. R Johnson D Hart E Simmons 1977 Cervical orthoses: a study comparing their effectiveness in restricting cervical motion in normal subjects J Bone Joint Surg Am 59 332 339 1:STN:280:DyaE2s7ktFSqtg%3D%3D 849944 (Pubitemid 8088661)
45. MP Koivikko MJ Kiuru SK Koskinen P Myllynen S Santavirta L Kivisaari 2004 Factors associated with non-union in conservatively-treated type-II fractures of the odontoid process J Bone Joint Surg Br 86 1146 1151 1:STN:280: DC%2BD2crpsFWrsA%3D%3D 15568528 (Pubitemid 39545604)
46. C Kuntz 4th SK Mirza AD Jarell JR Chapman CL Shaffrey DW Newell 2000 Type II odontoid fractures in the elderly: early failure of nonsurgical treatment Neurosurg Focus 8 E7 16859276
47. H Koller J Zenner W Hitzl L Ferraris H Resch M Tauber A Auffarth S Lederer M Mayer 2009 In vivo analysis of atlantoaxial motion in individuals immobilised with the halo thoracic vest or Philadelphia collar Spine 34 7 670 679 19333098
48. PJ Lennarson H Mostafavi VC Traynelis BC Walters 2000 Management of type II dens fractures: a case-control study Spine 25 1234 1237 1:STN:280: DC%2BD3c3mvVSjug%3D%3D 10806499 (Pubitemid 30322313)
49. IH Lieberman JK Webb 1994 Cervical spine injuries in the elderly J Bone Joint Surg Br 76 877 881 1:STN:280:DyaK2M%2FnsVaitA%3D%3D 7983110 (Pubitemid 24368438)
50. B Lind B Bake C Lundqvist A Nordwall 1987 Influence of halo vest treatment on vital capacity Spine 12 449 452 1:STN:280:DyaL2szhvF2nsg%3D%3D 3629395 (Pubitemid 17108342)
51. B Lind A Nordwall H Sihlbom 1987 Odontoid fractures treated with halo-vest Spine 12 173 177 1:STN:280:DyaL2s3jsVKitA%3D%3D 3589808 (Pubitemid 17064565)
52. Maak, Travis G, Grauer, Jonathan N (2006) The contemporary treatment of odontoid injuries. Spine 31(11S):S53-S60
53. Magerl F, Seeman PS (1986) Stable posterior fusion of the atlas and axis by transarticular screw fixation. In: Kehr P, Weidner A (eds) Cervical spine, vol 1. Springer, Wien, pp 267-278
54. DJ Maiman SJ Larson 1982 Management of odontoid fractures Neurosurgery 11 471 476 1:STN:280:DyaL3s%2Fmtlahtg%3D%3D 7145059 (Pubitemid 12000058)
55. S Majercik RZ Tashjian WL Biffl DT Harrington WG Cioffi 2005 Halo vest immobilization in the elderly: a death sentence? J Trauma 59 2 350 357 16294074 (Pubitemid 41639995)
56. AD McBride DP Mukherjee RN Kruse JA Albright 1995 Anterior screw fixation of type II odontoid fractures: a biomechanical study Spine 20 1855 1860 1:STN:280:DyaK28%2FmtVWnsA%3D%3D 8560331
57. R Moscovich H Crockard 1990 Myelopathy due to a hypertrophic non-union of the dens: case report J Trauma 30 222 225 (Pubitemid 20081399)
58. WH Mouradian VG Fietti GVB Chochran JW Fielding J Young 1978 Fractures of the odontoid: a laboratory and clinical study of mechanism Orthop Clin North Am 9 985 1001 1:STN:280:DyaE1M7hsFejsg%3D%3D 740389 (Pubitemid 9063084)
59. EJ Muller I Schwinnen K Fischer, et al. 2003 Non-rigid immobilisation of odontoid fractures Eur Spine J 12 522 525 12748895 (Pubitemid 37409953)
60. EJ Muller M Wick O Russe, et al. 1999 Management of odontoid fractures in the elderly Eur Spine J 8 360 365 1:STN:280:DC%2BD3c%2FitVKnsw%3D%3D 10552318 (Pubitemid 29513715)
61. C Olerud S Andersson B Svensson J Bring 1999 Cervical spine fractures in the elderly: factors influencing survival in 65 cases Acta Orthop Scand 70 509 513 1:STN:280:DC%2BD3c%2Fos1Wquw%3D%3D 10622487
62. G Paradis J Janes 1973 Posttraumatic atlantoaxial instability: the fate of the odontoid process fracture in 46 cases J Trauma 13 359 366 1:STN:280:DyaE3s7msFOktQ%3D%3D 4573254
63. JW Pepin RB Bourne RJ Hawkins 1985 Odontoid fractures, with special reference to the elderly patient Clin Orthop Relat Res 193 178 183 3971620 (Pubitemid 15132192)
64. J Perry VL Nickel 1959 Total cervical-spine fusion for neck paralysis J Bone Joint Surg Am 41 37 60 13620686
65. Platzer P, Thalhammer G, Sarahrudi K, Kovar F, Vekszler G, MD, Vécsei V, Gaebler C (2007) Nonoperative management of odontoid fractures using a halothoracic brace. Neurosurgery 61(3):522-530
66. RS Polin T Szabo CA Bogaev, et al. 1996 Nonoperative management of types II and III odontoid fractures: the Philadelphia collar versus the halo vest Neurosurgery 38 450 456 1:STN:280:DyaK28vjsV2juw%3D%3D 8837795
67. MD Ryan JJ Henderson 1992 The epidemiology of fractures and fracture-dislocations of the cervical spine Injury 23 38 40 1:STN:280: DyaK387nsF2hsA%3D%3D 1541497
68. MD Ryan TFK Taylor 1993 Odontoid fractures in the elderly J Spinal Dis 6 397 401 1:STN:280:DyaK2c7gtVKiug%3D%3D (Pubitemid 23290033)
69. JF Schweigel 1987 Management of the fractured odontoid with halo-thoracic bracing Spine 12 838 839 1:STN:280:DyaL1c7lvFektA%3D%3D 3441828 (Pubitemid 18031906)
70. EA Seybold JC Bayley 1998 Functional outcome of surgically and conservatively managed dens fractures Spine 23 1837 1845 1:STN:280: DyaK1cvjsFCrug%3D%3D 9762740
71. HE Smith SM Kerr M Maltenfort S Chaudhry R Norton TJ Albert J Harrop AS Hilibrand, et al. 2008 Early complications of surgical versus conservative treatment of isolated type ii odontoid fractures in octogenarians: a retrospective cohort study J Spinal Disord Tech 21 8 535 539 19057244
72. HE Smith AR Vaccaro M Maltenfort TJ Albert AS Hilibrand, et al. 2008 Trends in surgical management for type ii odontoid fracture: 20 years of experience at a regional spinal cord injury center Orthopedics 31 7 650 19292388
73. J Stoney J O'Brien P Wilde 1998 Treatment of type-two odontoid fractures in halothoracic vests J Bone Joint Surg Br 80 452 455 1:STN:280: DyaK1c3otFagtg%3D%3D 9619935
74. J Stratford 1957 Myelopathy caused by atlantoaxial dislocation J Neurosurg 14 97 104 1:STN:280:DyaG2s%2FjtF2jsQ%3D%3D 13385708
75. J Stulik T Vyskocil P Sebesta J Kryl 2007 Atlantoaxial fixation using the polyaxial screw-rod system Eur Spine J 16 479 484 17051397 (Pubitemid 46628647)
76. MS Tan, et al. 2003 Morphometric evaluation of screw fixation in atlas via posterior arch and lateral mass Spine 28 888 895 12942004
77. RZ Tashjian S Majercik WL Biffl MA Palumbo WG Cioffi 2006 Halo-vest immobilization increases early morbidity and mortality in elderly odontoid fractures J Trauma 60 1 199 203 16456456
78. van Middendorp JJ, Slooff WB, Nellestein WR, Oner FC (2009) Incidence of and risk factors for complications associated with halo-vest immobilization: a prospective, descriptive cohort study of 239 patients. J Bone Joint Surg Am 91(1):71-79
79. U Vieweg R Schultheiss 2001 A review of halo vest treatment of upper cervical spine injuries Arch Orthop Trauma Surg 121 50 55 1:STN:280: DC%2BD3M7ks1yhsA%3D%3D 11195118 (Pubitemid 32123997)
80. SJ Weller AM Malek E Rossitch 1997 Cervical spine fractures in the elderly Surg Neurol 47 274 281 1:STN:280:DyaK2s3itFKmsQ%3D%3D 9068699 (Pubitemid 27107901)
81. NM Wright C Lauryssen 1998 Vertebral artery injury in C1-2 transarticular screw fixation: results of a surgery of the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/Congress of Neurological Surgeons J Neurosurg 88 634 640 1:STN:280:DyaK1c7osVKhsg%3D%3D 9525707 (Pubitemid 28145204)