Reporte de un caso. Multiple cervical spine fractures. Case report. E-mail: rodrigovargasmena hotmail. Reincorporado a su trabajo habitual y con movilidad aceptable en la columna cervical.
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Decision making for the treatment of odontoid fractures. Nos pacientes tratados conservadoramente, optou-se pelo halo-gesso ou colar cervical tipo Philadelphia. METHODS: a retrospective and comparative study of conservative versus surgical treatment for odontoid was carried out with 24 patients who suffered odontoid fracture due to trauma.
None type I fracture was found, 17 patients had type II fractures Decision making for surgical or conservative treatment occurred depending on reduction and instability criteria.
Surgical treatment was carried out by Southwick-Robinson technique, by one cannulated screw for assuring odontoid fixation. Conservative treatment was performed with halo-vest or Philadelphia cervical collar.
Independently on the fracture type, the consolidation occurred within three months for patients treated surgically and within five months for patients treated conservatively. Em , Hadley et al. Apfelbaum et al. Consideraram-se pacientes com seguimento maior que um ano.
Dois casos apresentaram parestesias envolvendo membros superiores. Entre as fraturas do tipo III, nenhum caso apresentou desvio significativo. Todos os pacientes apresentaram melhora dos sintomas locais e retorno da mobilidade. As altas taxas de falhas no tratamento conservador levou diversos autores a tratarem estas fraturas cirurgicamente 8, Recentemente, Grauer et al.
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Descritores: Fraturas da coluna vetebral. O mecanismo de trauma mais prevalente foi queda de altura. Rev Bras Ortop. Odontoid fractures: evaluation and management. J Am Acad Orthop Surg.