Universität zu Köln

Osterhoff, Georg, Schnake, Klaus, Scheyerer, Max J., Ullrich, Bernhard W., Hartmann, Frank, Franck, Alexander, Koepp, Holger, Reinhold, Maximilian, Schmeiser, Gregor, Sprengel, Kai, Zimmermann, Volker, Siekmann, Holger, Badke, Andreas, Gebhard, Harry, Taeubel, Kai C., Grueninger, Sebastian, Verheyden, Akhil P., Schleicher, Philipp and Spiegl, Ulrich J. A. (2020). Recommendations for Diagnosis and Treatment of Odontoid Fractures in Geriatric Patients. Z. Orthop. Unfallchir., 158 (6). S. 647 - 657. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1864-6743

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Abstract

Background Odontoid fractures in geriatric patients represent an entity of increasing incidence with a high rate of morbidity and mortality. The optimal diagnostic and therapeutic management is being controversially discussed in the literature. Methods In a consensus process and based on the current literature, the members of the working groups Osteoporotic Fractures and Upper Cervical Spine of the German Society for Orthopaedics and Trauma Surgery (DGOU) defined recommendations for the diagnostics and treatment of odontoid fractures in geriatric patients. Results For the diagnosis of odontoid fractures in symptomatic patients, computed tomography represents the gold standard, along with conventional radiographs. Magnetic resonance and dynamic imaging can be used as ancillary imaging modalities. With regard to fracture classification, the systems described by Anderson/D'Alonzo and by Eysel/Roosen have proved to be of value. A treatment algorithm was developed based on these classifications. Anderson/D'Alonzo type 1, type 3, and non-displaced type 2 fractures usually can be treated non-operatively. However, a close clinical and radiological follow-up is essential. In Anderson/D'Alonzo type 2 fractures, operative treatment is associated with better fracture healing. Displaced type 2 and type 3 fractures should be stabilized operatively. Type 2 fractures with suitable fracture patterns (Eysel/Roosen 2A/B) can be stabilized anteriorly. Posterior C I/II-stabilization procedures are well established and suitable for all fracture patterns.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Osterhoff, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Schnake, Klaus UNSPECIFIED UNSPECIFIED UNSPECIFIED Scheyerer, Max J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ullrich, Bernhard W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hartmann, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Franck, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Koepp, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Reinhold, Maximilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmeiser, Gregor UNSPECIFIED UNSPECIFIED UNSPECIFIED Sprengel, Kai UNSPECIFIED UNSPECIFIED UNSPECIFIED Zimmermann, Volker UNSPECIFIED UNSPECIFIED UNSPECIFIED Siekmann, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Badke, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Gebhard, Harry UNSPECIFIED UNSPECIFIED UNSPECIFIED Taeubel, Kai C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Grueninger, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Verheyden, Akhil P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schleicher, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Spiegl, Ulrich J. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-309541
DOI:	10.1055/a-0989-2791
Journal or Publication Title:	Z. Orthop. Unfallchir.
Volume:	158
Number:	6
Page Range:	S. 647 - 657
Date:	2020
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	1864-6743
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CERVICAL-SPINE INJURY; SCREW FIXATION; ELDERLY-PATIENTS; NONOPERATIVE MANAGEMENT; ATLANTOAXIAL FIXATION; ANTERIOR; TRAUMA; MORTALITY; OUTCOMES; STABILIZATION Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/30954