Trends in surgical management for type II odontoid fracture: 20 years of experience at a regional spinal cord injury center.


Journal Article

This study reviewed surgical treatment methods in patients with type II odontoid fracture who were admitted to a level 1 spinal cord injury center during a 20-year period. Of the 186 patients who met inclusion criteria, 75 were treated operatively. The rate of surgical intervention increased during the study period. Length of hospital stay was not related to treatment. Estimated blood loss was significantly higher for posterior techniques. The Brooks technique and anterior odontoid screw fixation declined in frequency, whereas the Magerl technique has been used at a consistent rate since its introduction. The C1 lateral mass and C2 pedicle/isthmus screw technique has increased significantly since its description. Pneumonia, vocal cord, and swallowing problems occurred more often with anterior approaches.

Full Text

Duke Authors

Cited Authors

  • Smith, HE; Vaccaro, AR; Maltenfort, M; Albert, TJ; Hilibrand, AS; Anderson, DG; Harrop, J; Fehlings, MG; Kopjar, B; Brodke, DS; Arnold, PM; Shaffrey, CI

Published Date

  • July 2008

Published In

Volume / Issue

  • 31 / 7

Start / End Page

  • 650 -

PubMed ID

  • 19292388

Pubmed Central ID

  • 19292388

International Standard Serial Number (ISSN)

  • 0147-7447


  • eng

Conference Location

  • United States