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首页> 外文期刊>Archives of orthopaedic and trauma surgery. >Odontoid fractures in combination with C1 fractures in the elderly treated by combined anterior odontoid and transarticular C1/2 screw fixation
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Odontoid fractures in combination with C1 fractures in the elderly treated by combined anterior odontoid and transarticular C1/2 screw fixation

机译：Odontoid骨折与C1骨折组合在老年人牙齿治疗的老年人身上，由后牙面和分流式C1 / 2螺钉固定

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Introduction The purpose of this study was to evaluate risk factors of accompanied Cl fractures in elderly patients with type II odontoid fractures (OF) and to analyze the complication rate and the outcomes of patients after combined anterior odontoid and transarticular Cl/2 screw fixation (AOTAF).Materials and methods The study represents a retrospective case series at a single level-1 trauma center. All elderly patients (>70 years) with acute combination injuries (CI) including type II OF with an accompanied Cl fracture, who were treated by an anterior approach, were included. All postoperative complications were analyzed based on the patient notes. Clinical and radiological controls were performed after 1 year. Main parameters of interest were 1 -year mortality rate, pain level, and satisfaction rate after 1 year.Results A total of 23 patients were included. The average age was 84.6 years (range 73-94 years). All patients had atlanto-odontoid osteoarthritis (AOO) and all but two patients were injured by low-energy falls. Dysphagia was the most common postoperative complication (26.1%). Surgical revision was necessary in one of these patients due to hematoma. Dysphagia improved in all patients considerably. Loss of follow-up was 21.7%. The 1-year mortality was 21.7% (?= 5). The mean pain level and satisfaction rate was 2.5 (?.9) and 7.3 (?.7), respectively. After 1 year, no signs of non-union were visible. Conclusions AOO was observed in all patients with CI. The main cause of trauma was a low-energy fall. The pain levels were low to moderate and satisfaction levels were promising 1 year after surgery. Nonetheless, AOTAF is associated with a high rate of postoperative dysphagia, which resolves in the majority of patients due to conservative management.
机译：介绍本研究的目的是评估老年患者型异形骨折（OF）的老年患者伴随的CL骨折的危险因素，并在组合前躯干和分流式CL / 2螺钉固定后分析患者的并发症率和结果（AOTAF） ）。材料和方法该研究代表了单个1级创伤中心的回顾性壳体系列。包括所有老年患者（> 70岁），包括急性组合损伤（CI），包括通过前方法治疗的伴随的CL骨折。基于患者笔记分析所有术后并发症。 1年后临床和放射控制进行。感兴趣的主要参数是1年死亡率，疼痛程度和1年后的满意度。结果总共包括23名患者。平均年龄为84.6岁（范围73-94岁）。所有患者均有寰枢托肺骨关节炎（AOO），除了低能量下降的所有患者均受伤。吞咽症是最常见的术后并发症（26.1％）。由于血肿，这些患者中的一种是必要的手术修订。吞咽困难在所有患者中有所改善。失去随访时间为21.7％。 1年死亡率为21.7％（？= 5）。平均疼痛水平和满足率分别为2.5（？.9）和7.3（？.7）。 1年后，没有可见非联盟的迹象。结论在所有CI患者中观察到AOO。创伤的主要原因是一个低能量的秋季。疼痛水平低至中度和满足程度在手术后1年度令人满意。尽管如此，AOTAF与术后吞咽症的高率有关，这在大多数患者中都因保守管理而解决。

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