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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1994-2-7
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pubmed:abstractText |
A review of 35 patients > 60 years of age with odontoid fractures showed that a type II injury (Anderson and D'Alonso) was the most common fracture pattern (82% of cases). On the basis of mechanism of injury and sex incidence, we deduced that osteopenia is a contributory factor in the occurrence of odontoid fractures. A fall in a domestic setting was the cause in 53%. The peg was posteriorly displaced in 88% of type II fractures, and primary union occurred in 23%. The incidence of concomitant spinal cord injury with type II fractures was higher in older patients than it was in those < 60 years of age. The outcome for these patients was largely determined by their neurological status at presentation. Myelopathy as a late complication of nonunion was not observed in nine patients with an average follow-up of 21 months. The data suggest that vigorous attempts to secure both primary union and a sound arthrodesis for non-union are questionable in the elderly except in unusual circumstances.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
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pubmed:month |
Oct
|
pubmed:issn |
0895-0385
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
6
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
397-401
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pubmed:dateRevised |
2005-11-16
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pubmed:meshHeading |
pubmed-meshheading:8274807-Aged,
pubmed-meshheading:8274807-Aged, 80 and over,
pubmed-meshheading:8274807-Bone Diseases, Metabolic,
pubmed-meshheading:8274807-Female,
pubmed-meshheading:8274807-Follow-Up Studies,
pubmed-meshheading:8274807-Fractures, Ununited,
pubmed-meshheading:8274807-Humans,
pubmed-meshheading:8274807-Male,
pubmed-meshheading:8274807-Middle Aged,
pubmed-meshheading:8274807-Odontoid Process,
pubmed-meshheading:8274807-Retrospective Studies,
pubmed-meshheading:8274807-Severity of Illness Index,
pubmed-meshheading:8274807-Spinal Fractures,
pubmed-meshheading:8274807-Treatment Outcome
|
pubmed:year |
1993
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pubmed:articleTitle |
Odontoid fractures in the elderly.
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pubmed:affiliation |
Department of Orthopaedics and Traumatic Surgery, Royal North Shore Hospital, Sydney, Australia.
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pubmed:publicationType |
Journal Article,
Review
|