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Posterior screw-plate system for treating old fracture of the odontoid process.
MedLine Citation:
PMID:  22009931     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective:  To assess the efficacy of a screw-plate system for the treatment of old fracture of the odontoid process. Methods:  Twenty-six patients with old fracture of the odontoid process were treated by a posterior screw-plate system. There were 17 men and 9 women ranging in age from 17 to 58 years (mean, 32.8 years). According to the Anderson-D'Alonzo classification, 19 patients were classified as type II, and 7 as type III. According to the Frankel classification, there were 3 patients of grade C, 21 of grade D and 2 of grade E. Results:  All operations were successfully performed. The operation time was 75-120 min (mean, 90 min) and the intraoperative blood loss 50-200 ml (mean, 125 ml). There were no postoperative complications. All patients were followed up for 24-36 months. At the final follow-up, one patient had improved from grade C to grade D, two from grade C to grade E, and 15 from grade D to grade E. The other cases had remained stable. There was no breakage of nails or failure of internal fixation during follow-up. Stable bone union was observed in all cases, the average healing time being 7.8 months. Conclusion:  Posterior screw-plate system is a safe and effective method for treating old fracture of the odontoid process.
Authors:
Ting-Song Li; Zeng-Ming Xiao; Mao-Lin He
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orthopaedic surgery     Volume:  2     ISSN:  1757-7861     ISO Abbreviation:  Orthop Surg     Publication Date:  2010 May 
Date Detail:
Created Date:  2011-10-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101501666     Medline TA:  Orthop Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  156-60     Citation Subset:  IM    
Copyright Information:
© 2010 Tianjin Hospital and Blackwell Publishing Asia Pty Ltd.
Affiliation:
Department of Spine and Orthopaedics, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
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