![]() Or radiological difference with the use of one or two screws Relation to type II odontoid fractures, there is generally no clinical Results and complications, using different surgical techniques. Omeils et al did not find significant difference in relation to the found unacceptable results, with high rates of complications The authors concluded that clinical treatment should be recommended. Mortality was 20.4% for the surgical group and 17.6% for the clinician. ![]() evaluated 108 patients with odontoid fractures, of which 68 underwent clinical treatment and 40 underwent surgical treatment, with a mean age of 82.4 and 77.4 years for clinical and surgical treatment, respectively, of which 23 were submitted the anterior screw and nine to the posterior fixation. believe that conservative treatment is superior to surgical treatment. Of fracture, in this age group, still generates very controversial in the literature. It is the most common fracture of the cervical Its incidence has increased progressively over the years in it was 21%, 43% and 76%. It is the most common fracture in the elderly. There was a higher mortality in three months in the clinical group compared to the surgical group, 21 versus 8.9% respectively. The mortality rate at three months, with treatments, was 9.1%. In this same study, the most common late complication in the odontoid fracture was non-union of the fracture, and no significant difference was found between the surgical and clinical groups (12.8 versus 10.8%, respectively). , in a recent systematic review of cervical spine trauma in the elderly, demonstrated an average complication rate of 15.4% in all combined treatments, with dysphagia and respiratory problems being more common in surgical treatment and the local complications type inflammatory reaction or infection to the pins of the halo vest and respiratory decompensation in the clinical group. The association with osteoporosis and osteoarthritis in the high and low cervical spine, respectively, may be the explanation for this phenomenon we have done a brief review on the most common types of upper cervical fracture in the elderly with their respective treatments and complications. Most occur in the high cervical spine, especially in the odontoid process. The frequency of traumatic lesions in the cervical spine has increased in patients over 65 years. The surgical treatment presents a better rate of bone consolidation, with a faster return to daily autonomy. The use of collar or halo in this age group should be restricted to stable lesions. There is no consensus in the literature regarding optimal treatment, and both the conservative and the surgical are amenable to complications. The trauma of the upper cervical spine is common in the elderly, and the injury mechanism is most often of low impact, with little kinetic energy. Keywords: Cervical spine Trauma Surgical treatment Clinical group Complication Patients Injury Blood loss Fusion Complications Stabilization Cervical rotary We have done a brief review of the possible types of treatments for odontoid fractures in the elderly and their complications. Surgical indications of type II odontoid fracture include: patients over 50 years, distance between fragments> 2 mm, odontoid dislocation> 5 mm, and non-reduction without fracture alignment after conservative treatment. That divide the fractures into three types: type I with the fracture tract at the tip of the odontoid, type II with the trait at the base and type III with the fracture trait in the body. ![]() The most commonly used classification is that of Anderson and D’Alonzo. The C2 vertebra presents unique characteristics: it is composed of a body and a tip or tooth, with important functions of mobility and stability, and in combination with C1 are of fundamental importance in the stability of the high cervical spine. Odontoid fractures account for about 60% of traumatic C2 lesions and 20% of all cervical spine fractures. How to cite this article: Fernando LRD, François D, Antonio CVC, Gilberto AFF,Gustavo AC,Ricardo VB. *Corresponding author: Fernando Luiz Rolemberg Dantas, Department of Neurosurgery - Rua Ministro Alfredo Valadão, 852 - Mangabeiras, Belo Horizonte - Minas Gerais, Brazil Submission: FebruPublished: March 15, 2019 Mini Review Odontoid Fracture in the Elderly Fernando Luiz Rolemberg Dantas 1,2, François Dantas 1,3, Antonio Carlos Vieira Caires 1, Gilberto de Almeida Fonseca Filho 1, Gustavo Agra Cariri 1, Ricardo Vieira Botelho 2ġDepartment of Neurosurgery - Biocor Instituto, Belo Horizonte, Minas Gerais, BrazilĢPost-Graduation in Health Sciences - IAMSPE, São Paulo, São Paulo, BrazilĢFaculdade de Ciências Médicas de Minas Gerais - Feluma Post-Graduation, Belo Horizonte, Minas Gerais, Brazil ![]()
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