The nonsurgical management of odontoid fractures in adults.
Twenty-five odontoid fractures that were treated nonsurgically at the University of Virginia Hospital in the last 5 years were reviewed. Motor vehicle accidents were the major cause of this injury in our series. Early recognition and firm external stabilization of Type I and Type III fractures of the odontoid resulted in union in 100% of our patients. There were 12 Type II fractures with a nonunion rate of 42%. Thus, an overall rate of union of 80% was obtained. It is suggested in the literature and by this series that early recognition, reduction, and rigid external immobilization of Types I and III fractures of the odontoid should promote bony union. Type II fractures may also be managed successfully by closed methods, although the outcome is less certain.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001368:Axis, Cervical Vertebra / Q000293:injuries*; D001915:Braces; D005260:Female; D050723:Fractures, Bone / Q000628:therapy*; D005597:Fractures, Open / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D014143:Traction; D014945:Wound Healing