Decision making for the treatment of odontoid fractures. Nos pacientes tratados conservadoramente, optou-se pelo halo-gesso ou colar cervical tipo Philadelphia. METHODS: a retrospective and comparative study of conservative versus surgical treatment for odontoid was carried out with 24 patients who suffered odontoid fracture due to trauma. None type I fracture was found, 17 patients had type II fractures
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Decision making for the treatment of odontoid fractures. Nos pacientes tratados conservadoramente, optou-se pelo halo-gesso ou colar cervical tipo Philadelphia. METHODS: a retrospective and comparative study of conservative versus surgical treatment for odontoid was carried out with 24 patients who suffered odontoid fracture due to trauma. None type I fracture was found, 17 patients had type II fractures Decision making for surgical or conservative treatment occurred depending on reduction and instability criteria.
Surgical treatment was carried out by Southwick-Robinson technique, by one cannulated screw for assuring odontoid fixation. Conservative treatment was performed with halo-vest or Philadelphia cervical collar. Independently on the fracture type, the consolidation occurred within three months for patients treated surgically and within five months for patients treated conservatively. Em , Hadley et al.
Apfelbaum et al. Consideraram-se pacientes com seguimento maior que um ano. Dois casos apresentaram parestesias envolvendo membros superiores.
Entre as fraturas do tipo III, nenhum caso apresentou desvio significativo. Todos os pacientes apresentaram melhora dos sintomas locais e retorno da mobilidade. As altas taxas de falhas no tratamento conservador levou diversos autores a tratarem estas fraturas cirurgicamente 8, Recentemente, Grauer et al.
Henry et al. Blaskiewicz e Fountas et al. Jaiswal et al. Concordamos com o algoritmo proposto por Grauer et al. E Jaiswal et al. Cervical spine trauma: upper and lower.
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The cervical spine. Lippincott-Raven; Odontoid fracture: management with early mobilization using the halo device. Fractures of the odontoid process: conservative and operative treatment. Prognostic factors. Acta Orthop Belg. Complications of the halo fixation. Castro MG. Althoff B, Goldie IF.
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Current management of odontoid fractures. Indian J Neurotrauma. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Services on Demand Journal.
Lorena, cj. How to cite this article.
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