Journal article

Treatment of type-two odontoid fractures in halothoracic vests

J Stoney, J O'Brien, P Wilde

The Journal of Bone and Joint Surgery | BRITISH EDITORIAL SOC BONE JOINT SURGERY | Published : 1998


We treated 22 patients with type-two odontoid fractures in halothoracic vests for six to eight weeks followed by a Philadelphia collar for four weeks. Eighteen patients were reviewed by questionnaire and radiography at a mean of 40 months after injury. We assessed union, fracture position, the degree of permanent pain and stiffness, satisfaction with the treatment and the outcome. The overall union rate was 82%. Posterior malunion with residual posterior displacement or angulation was associated with a higher incidence of persisting pain. The position at union did not correlate with the residual cervical stiffness. Fractures failed to unite in four patients (18%) none of whom had late neurol..

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University of Melbourne Researchers