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Odontoid Fracture in the Elderly

Author

Listed:
  • Fernando Luiz Rolemberg Dantas
  • Antonio Carlos Vieira Caires
  • Gilberto de Almeida Fonseca Filho
  • Gustavo Agra Cariri

    (Department of Neurosurgery - Biocor Instituto, Belo Horizonte, Minas Gerais, Brazil)

  • Ricardo Vieira Botelho

    (Post-Graduation in Health Sciences - IAMSPE, São Paulo, São Paulo, Brazil)

  • François Dantas

    (Faculdade de Ciências Médicas de Minas Gerais - Feluma Post-Graduation, Belo Horizonte, Minas Gerais, Brazil)

Abstract

Odontoid fractures account for about 60% of traumatic C2 lesions and 20% of all cervical spine fractures. The C2 vertebra presents unique characteristics: it is composed of a body and a tip or tooth, with important functions of mobility and stability, and in combination with C1 are of fundamental importance in the stability of the high cervical spine. The most commonly used classification is that of Anderson and D’Alonzo. That divide the fractures into three types: type I with the fracture tract at the tip of the odontoid, type II with the trait at the base and type III with the fracture trait in the body. Surgical indications of type II odontoid fracture include: patients over 50 years, distance between fragments> 2 mm, odontoid dislocation> 5 mm, and non-reduction without fracture alignment after conservative treatment.

Suggested Citation

  • Fernando Luiz Rolemberg Dantas & Antonio Carlos Vieira Caires & Gilberto de Almeida Fonseca Filho & Gustavo Agra Cariri & Ricardo Vieira Botelho & François Dantas, 2019. "Odontoid Fracture in the Elderly," Open Access Journal of Neurology & Neurosurgery, Juniper Publishers Inc., vol. 10(1), pages 12-14, March.
    • Handle: RePEc:adp:joajnn:v:10:y:2019:i:1:p:12-14
    DOI: 10.19080/OAJNN.2019.10.555780
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