ODONTOID FRACTURES TREATED WITH HALO-JACKET
Abstract
Background. Treatment of odontoid fractures remains controversial. Methods. Late results of 10 patients treated with Halo-jacket from 1995–97 are presented. The displacement bigger than 6 mm was reduced under image intensifier and stabilized by Halo-jacket for 8–12 weeks.
Results. After one year the fracture was rentgenologically consolidated in 8 patients, in all of 10 without neurological deficit, in 4 with reduced range of motion, in 6 without subjective consequences, in 3 painful motion and in 4 cervical stiffness was reported.
Conclusions. The authors recommend semioperative method for treatment of majority of odontoid fractures displaced 6 mm and more, open reduction and internal fixation is necessary in selected cases. Neurological deficit crucially influences the way of treatment.
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