Combined Odontoid (C2) and Atlas (C1) Fractures in Geriatric Patients: A Systematic Review and Treatment Recommendation
Spiegl UJ, Keil H, Krause J, Osterhoff G, Scheyerer MJ, Schnake KJ, Perl M (2023)
Publication Type: Journal article
Publication year: 2023
Journal
Book Volume: 13
Pages Range: 22S-28S
Journal Issue: 1_suppl
DOI: 10.1177/21925682221127951
Abstract
Study Design: Systematic review. Objective: The aim of this study was to conduct a systematic overview of the pathogenesis and the treatment options of combined odontoid and atlas fractures in geriatric patients. Methods: This review is based on articles retrieved by a systematic search in the PubMed and Web of Science databases for articles published until February 2021 dealing with combination fractures of C1 and C2 in geriatric patients. Results: Altogether, 438 articles were retrieved from the literature search. A total of 430 articles were excluded. The remaining eight original articles were included in this systematic review depicting the topics pathogenesis, non-operative treatment, posterior approach, and anterior approach. The overall level of evidence of the studies is low. Conclusion: Combined odontoid and atlas fractures in the geriatric population are commonly caused by simple falls and seem to be associated with atlanto-odontoid osteoarthritis. Non-operative treatment with a cervical orthosis is a feasible treatment option in the majority of patients with stable C2 fractures. In case of surgery posterior C1 and C 2 stabilization and anterior triple or quadruple screw fixation are possible techniques. Some patients may also deserve an occipito-cervical fusion. A possible treatment algorithm is proposed.
Authors with CRIS profile
Holger Stadthalter
Department of Orthopaedic and Trauma Surgery
Julia Krause
Medizinische Fakultät
Mario Perl
Lehrstuhl für Unfallchirurgie und Orthopädie
Additional Organisation(s)
Involved external institutions
Germany (DE)How to cite
APA:
Spiegl, U.J., Keil, H., Krause, J., Osterhoff, G., Scheyerer, M.J., Schnake, K.J., & Perl, M. (2023). Combined Odontoid (C2) and Atlas (C1) Fractures in Geriatric Patients: A Systematic Review and Treatment Recommendation. Global Spine Journal, 13(1_suppl), 22S-28S. https://doi.org/10.1177/21925682221127951
MLA:
Spiegl, Ulrich J.A., et al. "Combined Odontoid (C2) and Atlas (C1) Fractures in Geriatric Patients: A Systematic Review and Treatment Recommendation." Global Spine Journal 13.1_suppl (2023): 22S-28S.
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