Ramadier J O, Aleon J F, Servant J
Rev Chir Orthop Reparatrice Appar Mot. 1976 Mar;62(2):171-89.
The authors have reviewed 94 cases of fractures of the odontoid process, 21 of the with neurological signs. The conclusions were as follows: 1) Conservative treatment in 26 cases led to 9 non-unions; 2) 27 recent fractures were operated on (arthrodesis) with 24 fusions; 3) 54 cases were treated more than 30 days after the accident: 15 ot them demonstrated neurological involvement, 34 of them were operated on; 4) The surgical technique is fully described, usually the operation aimed at fusing C1 to C2; 5) One patient died, none was aggravated, all were somewhat improved on the neurological standpoint; 6) On a functional standpoint neck mobility was less decreased after conservative treatment than after cervical fusion.
作者回顾了94例齿突骨折病例，其中21例伴有神经症状。结论如下：1）26例保守治疗导致9例不愈合；2）27例新鲜骨折接受了手术（关节融合术），24例融合成功；3）54例在事故发生30天以后接受治疗：其中15例有神经受累表现，34例接受了手术；4）详细描述了手术技术，手术通常旨在使C1与C2融合；5）1例患者死亡，无病情加重情况，从神经学角度看所有患者均有一定程度改善；6）从功能角度看，保守治疗后颈部活动度的降低程度低于颈椎融合术后。
