Upper cervical spinal injuries in elderly patients: age-specific treatment.

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dc.authorid0000-0002-3260-7419en_US
dc.authorid0000-0002-1668-7850
dc.authorid0000-0002-3260-7419
dc.contributor.authorGezici, Ali Rıza
dc.contributor.authorDağıstan, Yaşar
dc.contributor.authorCancan, Seçkin Emre
dc.contributor.authorSarı, Kutlu
dc.contributor.authorKaya, Necdet Selim
dc.date.accessioned2021-06-23T19:49:17Z
dc.date.available2021-06-23T19:49:17Z
dc.date.issued2017
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractIncidence of upper cervical vertebra injuries in elder population augments in accordance with the increase in mean life expectancy of the general population. These injuries can be easily misdiagnosed since they can be caused by low-accelerated traumas due to the osteo-degenerative changes in elderly patients, and with generally no neurological findings. Odontoid fractures are the most common among these injuries. Treatment algorithms of odontoid fractures are not still well established because of preexisted co-morbidities and high rates of morbidity and mortality in older individuals. We have retrospectively evaluated 16 cases admitted to our clinic in last 3 years, which were older than 65 years of age and which have been diagnosed with C2 fractures. In 13 of these cases (81.3%) odontoid fractures (10 cases with type II and 3 cases with type III), in 2 cases (12.5%) lateral mass fractures and 1 pars interarticularis fracture were identified. 14 of the patients (87.5%) were treated with medical corsets (7 Halo vests, 7 Minerva braces) and 2 patients (12.5%) had undergone surgery. All patients who had rigid cervical immobilization (RCI) were discharged in cured conditions whereas 2 patients, who were treated with surgical intervention, had died in early post-operative period. In patients with RCI bone fusion rate was 63.6% and recovery with stable fibrosis rate was 36.4% for odontoid fractures. At the end of the medical corset application period, all patients were checked with dynamic X-ray imaging and in an unrelated manner to the bone fusion rates no instability, greater than 1 mm, was determined. In the mean follow-up period of 30 months, no complications were seen after the medical corset application for stabilizations. Therefore, we have the conclusion that in patients from the older population, with no certain indications for surgery, a suitable RCI should be tried at first, and recovery with a stable fibrosis can be adequate for this patient group.en_US
dc.identifier.endpage785en_US
dc.identifier.issn0970-938X
dc.identifier.issn0976-1683
dc.identifier.issue2en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage778en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/9446
dc.identifier.urihttps://www.alliedacademies.org/articles/upper-cervical-spinal-injuries-in-elderly-patients-agespecific-treatment.html
dc.identifier.volume28en_US
dc.identifier.wosWOS:000393490700047en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorGezici, Ali Rıza
dc.institutionauthorDağıstan, Yaşar
dc.institutionauthorCancan, Seçkin Emre
dc.institutionauthorSarı, Kutlu
dc.institutionauthorKaya, Necdet Selim
dc.language.isoenen_US
dc.publisherAllied Acaden_US
dc.relation.ispartofBiomedical Research-Indiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCervicalen_US
dc.subjectOdontoiden_US
dc.subjectFractureen_US
dc.subjectStabilizationen_US
dc.titleUpper cervical spinal injuries in elderly patients: age-specific treatment.en_US
dc.typeArticleen_US

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