Fratture dell'odontoide (dente dell'epistrofeo): Revisione dell'approccio al paziente e metodiche di trattamento

Translated title of the contribution: Fracture of the odontoid process. A review of the clinical approach and management methods

R. Preite, A. Ramieri, M. Nocente, P. Belli, G. Costanzo

Research output: Contribution to journalArticlepeer-review

Abstract

Odontoid fractures represent an important aspect of cervical spine traumatology, both on account of the anatomical complexity of this region and the controversy which still persists regarding the initial and definitive treatment. Anderson and D'Alonzo's classification is generally the most widely accepted. Depending on the site, fractures are divided into type I, type II and type III. Type II fractures are the most frequent and represent the lesion that usually presents the greatest complications, such as pseudoarthrosis. Risk factors for failed consolidation include: the patient's age, a high degree of initial decomposition of the fracture, posterior dislocations of the dens compared to anterior ones, late diagnosis or mobilization of the fracture after fixation with a brace. Treatment may be conservative (using a brace) or surgical (posterior arthrodesis or synthesis of the fracture using screws). In fractures with a higher risk of pseudoarthrosis with decomposition >5 mm or angulation of dens >10°, surgery significantly reduces the risk of pseudoarthrosis. Starting from this premise, the authors report the general principles for first aid for injured patients and the methods of definitive treatment used depending on the characteristics of fractures.

Translated title of the contributionFracture of the odontoid process. A review of the clinical approach and management methods
Original languageItalian
Pages (from-to)385-393
Number of pages9
JournalMinerva Ortopedica e Traumatologica
Volume48
Issue number10
Publication statusPublished - 1997

ASJC Scopus subject areas

  • Surgery

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