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首页> 外文期刊>Open Journal of Urology >Review of Management of Type-2 Odontoid Fracture in Elderly
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Review of Management of Type-2 Odontoid Fracture in Elderly

机译：老年人型号Odontoid骨折管理综述

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摘要

Odontoid fracture accounts for 15% ?-?20% of all cervical spine injuries. Among the odontoid fracture, type-2 fracture? is ?the most common variety. This injury is associated with a high incidence of morbidity, mortality and?nonunion in? the? elderly irrespective of mode of treatment. Management of odontoid fracture cannot be standardized till to date and ideal treatment for type-2 odontoid fractures still ha s ?some controversial issues. Objective of this review is to find? a? controversial aspect of management along with opinion to find out a standard guideline by searching the literature in Pubmed and Google?scholar databases with?key words :? odontoid, fracture, type-2, management, nonoperative and operative management. Nonoperative treatment with halo vest is associated with very high rate of complication in elderly patient. When conservative treatment of this fractures is indicated that should be carried out with hard cervical collar or cervicothoracic orthosis. Current studies suggest that surgical management of odontoid fractures may offer a protective benefit but it is limited to patients younger than 75 years of age. Though surgical treatment has? a? better outcome , it? is also limited by the co-mobidities and hazards of anesthesia and surgery in elderly patients. Conservative treatment of this fracture in? the? elderly should preferably be carried out with hard collar or avoiding halo vest. Surgical treatment is associated with little advantage but should be selected with proper attention to age, comorbidities, fracture geometry and it is better to individualize the treatment strategy.
机译：Odontoid骨折占15％？ - ？20％的颈椎损伤。在Odontoid骨折中，2型骨折？是？最常见的品种。这种伤害与发病率，死亡率和何处的高发病率有关？这？老人无论治疗模式如何。 Odontoid骨折的管理不能标准化，直到迄今为止和理想的2型Odontoid骨折的理想治疗仍然有争议的问题。此评论的目的是找到？一种？有争议的管理方面以及通过在Pubmed和Google的文献中搜索学者数据库来了解标准指南的意见：关键词：？ Odontoid，骨折，2型，管理，非手术和手术管理。与晕背心的非手术治疗与老年患者的复杂性很高有关。当表明这种骨折的保守治疗时，应用硬颈套或宫颈矫形矫形器进行。目前的研究表明，Odontoid骨折的手术管理可能提供保护性益处，但它仅限于年龄小于75岁的患者。虽然手术治疗有吗？一种？更好的结果，它吗？也受到老年患者麻醉和手术的共同动员和危害的限制。保守治疗这种骨折？这？老年人应优选使用硬衣领或避免晕圈背心进行。手术治疗与少的优点有关，但应选择适当关注年龄，组合，裂缝几何形状，并且最好是个体化治疗策略。

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