Upper cervical spinal injuries in elderly patients: Age-specific treatment

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dc.authorscopusid6602531317
dc.authorscopusid55246891700
dc.authorscopusid56857485400
dc.authorscopusid57193242467
dc.authorscopusid57305601900
dc.authorscopusid57193240432
dc.authorscopusid57192926677
dc.contributor.authorGezici, Ali Rıza
dc.contributor.authorDagistan, Yasar
dc.contributor.authorCancan, Seçkin Emre
dc.contributor.authorSarı, Kutlu
dc.contributor.authorKaya, Necdet Selim
dc.contributor.authorKılıç, Güven
dc.contributor.authorAkar, Semih
dc.date.accessioned2024-09-25T19:45:16Z
dc.date.available2024-09-25T19:45:16Z
dc.date.issued2017
dc.departmentAbant İzzet Baysal Üniversitesien_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. © 2017, Scientific Publishers of India. All rights reserved.en_US
dc.identifier.endpage785en_US
dc.identifier.issn0970-938X
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85012007474en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage778en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12930
dc.identifier.volume28en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherScientific Publishers of Indiaen_US
dc.relation.ispartofBiomedical Research (India)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectCervicalen_US
dc.subjectFractureen_US
dc.subjectOdontoiden_US
dc.subjectStabilizationen_US
dc.titleUpper cervical spinal injuries in elderly patients: Age-specific treatmenten_US
dc.typeArticleen_US

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