Low-Threshold-For-Surgery Versus Primarily-Conservative Treatment for Odontoid Fractures in the Elderly: Evaluating Practice Variation in The Netherlands.

Jeroen G J Huybregts,Samuel B Polak,Wilco C H Jacobs,Ilse A Krekels-Huijbregts,Anouk Y J M Smeets,Mark P Arts,Willem-Bart M Slooff,F Cumhur Öner,Wilco C Peul,Henk van Santbrink,Carmen L A Vleggeert-Lankamp

Global spine journal（2023）

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摘要

Union and stability rates did not differ between the treatment strategies. Advanced age (≥80 years) negatively influenced both radiological outcome and mortality. No cases of secondary neurological deficits were identified, suggesting that concerns for the consequences of under-treatment may be unjustified.

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关键词

odontoid process, fractures, bone, aged, cohort studies, surgical treatment, conservative treatment

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