Symeonidis P, Caracostas M, Vayanos E, Capetsis P, Economou C
Rev Chir Orthop Reparatrice Appar Mot. 1976 Jun;62(4):405-12.
Analysis of 15 cases of fracture of the odontoid process of the axis, with a follow-up time of 18 months to 9 years. In 6 cases (40 p. 100) the diagnosis of the fracture was made with a delay extending from one week to 3 months after the accident. The only case complicated with neurological findings was a fracture of the dens without radiological displacement. All patients have been treated conservatively. Twelve fractures united after 4 to 6 months immobilisation. In two cases a tight and stable non-union has developed. In only one case the pseudarthrosis was loose and unstable, and required a surgical fusion. The functional result was dominated by a restriction of movements of the head, variable in its importance, but practically constant.
对15例枢椎齿突骨折患者进行分析，随访时间为18个月至9年。其中6例（40%）骨折诊断延迟，延迟时间从事故发生后1周延长至3个月。唯一合并神经症状的病例是齿突骨折但无放射学移位。所有患者均接受保守治疗。12例骨折在固定4至6个月后愈合。2例出现牢固且稳定的骨不连。仅1例假关节松动不稳定，需要手术融合。功能结果主要表现为头部活动受限，其严重程度各异，但几乎持续存在。
