齿突骨折的保守治疗：长期随访
Conservative Management of Odontoid Peg Fractures, long term follow up.
作者信息
Osman Aheed, Alageli Nabil A, Short D J, Masri W S El
机构信息
The Midlands Centre for Spinal Injuries, RJAH Orthopaedic Hospital, Oswestry, Shropshire, SY10 7AG, United Kingdom.
Tripoli Medical Centre, PO Box 80596, Zawia Street Office Tripoli, Libya.
出版信息
J Clin Orthop Trauma. 2017 Apr-Jun;8(2):103-106. doi: 10.1016/j.jcot.2017.06.003. Epub 2017 Jun 4.
OBJECTIVE
The aim of the study was to look at the long-term effects of conservative management of odontoid peg fractures.
METHODS
We reviewed 48 consecutive patients with type II (32) and 16 type III, odontoid peg fractures. The clinical & radiological outcomes were assessed over an average period of follow up of 8 years. Union rate was determined and we discussed several factors that may affect it. Patients were treated conservatively with an average period of bed rest of 4 weeks followed by bracing for an average of 9 weeks.
RESULTS
Bony union was established in 25 of 32 (78%) type II fractures. Of 7 cases of no bony union 4 were stable probably with fibrous union. 3 remained unstable. In 13 of 16(83%) type III fractures bony union was established. 2 of the 3 with no bony union were considered stable.
CONCLUSION
Osseous non-union was higher in patients with displacement of >5 mm, but there is no correlation between union and age, gender or angulation of the fracture in both types.
目的
本研究旨在探讨齿突骨折保守治疗的长期效果。
方法
我们回顾性分析了48例连续的II型（32例）和III型（16例）齿突骨折患者。平均随访8年，评估临床及影像学结果。确定骨折愈合率，并讨论了可能影响愈合的几个因素。患者接受保守治疗，平均卧床休息4周，随后平均佩戴支具9周。
结果
32例II型骨折中有25例（78%）实现了骨愈合。7例未骨愈合的病例中，4例可能为纤维愈合，情况稳定，3例仍不稳定。16例III型骨折中有13例（83%）实现了骨愈合。3例未骨愈合的病例中有2例被认为情况稳定。
结论
移位>5mm的患者骨不连发生率较高，但两种类型骨折的愈合与年龄、性别或骨折成角均无相关性。
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