AI Article Synopsis
- The study evaluated the long-term outcomes of conservative treatment for odontoid peg fractures in 48 patients, focusing on both type II and type III fractures.
- A follow-up over an average of 8 years revealed high bony union rates of 78% for type II and 83% for type III fractures, with some stable non-unions noted.
- It was found that greater displacement (>5 mm) of the fractures correlated with a higher rate of non-union, but factors like age, gender, and fracture angle had no impact on healing rates.
Article Abstract
Objective: The aim of the study was to look at the long-term effects of conservative management of odontoid peg fractures.
Methods: We reviewed 48 consecutive patients with type II (32) and 16 type III, odontoid peg fractures. The clinical & radiological outcomes were assessed over an average period of follow up of 8 years. Union rate was determined and we discussed several factors that may affect it. Patients were treated conservatively with an average period of bed rest of 4 weeks followed by bracing for an average of 9 weeks.
Results: Bony union was established in 25 of 32 (78%) type II fractures. Of 7 cases of no bony union 4 were stable probably with fibrous union. 3 remained unstable. In 13 of 16(83%) type III fractures bony union was established. 2 of the 3 with no bony union were considered stable.
Conclusion: Osseous non-union was higher in patients with displacement of >5 mm, but there is no correlation between union and age, gender or angulation of the fracture in both types.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498757 | PMC |
| http://dx.doi.org/10.1016/j.jcot.2017.06.003 | DOI Listing |
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