Acute Axis Fractures

1997362 citationsJournal Article

Authors

Karl A. Greene · Neurological Surgery

Curtis A. Dickman · Neurological Surgery

Frederick F. Marciano · Neurological Surgery

Janine B. Drabier · Neurological Surgery

Mark N. Hadley

Volker K.H. Sonntag · Barrow Neurological Institute

Abstract

Type II odontoid fractures have the highest nonunion rate and were associated with dens displacement of 6 mm or greater. Early surgical fusion is recommended for acute fracture instability despite external immobilization, transverse ligament disruption, Type II odontoid fractures with dens displacement of at least 6 mm on admission, or severe Francis grade or Effendi-type hangman's fractures. Otherwise, nonoperative management is sufficient.

Topics & Keywords

Spinal Fractures and Fixation Techniques Pelvic and Acetabular Injuries Spine and Intervertebral Disc Pathology

UN Sustainable Development Goals

Good health and well-being

Publication Details

Published in: Spine

Volume 22, Issue 16, pp. 1843-1852

DOI: 10.1097/00007632-199708150-00009

Field-Weighted Citation Impact: 4.24