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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Kim, Seung-Kook (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) Shin, Jun-Jae (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) Kim, Tae-Hong (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) Shin, Hyung-Shik (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) Hwang, Yong-Soon (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) Park, Sang-Keun (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제50권 제1호
발행연도
2011.1
수록면
17 - 22 (6page)

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Objective : In the present study, authors retrospectively reviewed the clinical outcomes of halo-vest immobilization (HVI) versus surgical fixation in patients with odontoid fracture after either non-surgical treatment (HVI) or with surgical fixation. Methods : From April 1997 to December 2008, we treated a total of 60 patients with upper cervical spine injuries. This study included 31 (51.7%) patients (22 men, 9 women; mean age, 39.3 years) with types II and III odontoid process fractures. The average follow-up was 25.1 months. We reviewed digital radiographs and analyzed images according to type of injury and treatment outcomes, following conservative treatment with HVI and surgical management with screw fixation. Results : There were a total of 31 cases of types II and III odontoid process fractures (21 odontoid type II fractures, 10 type III fractures). Fifteen patients underwent HVI (10 type II fractures, 5 type III fractures). Nine (60%) out of 15 patients who underwent HVI experienced successful healing of odontoid fractures. The mean period for bone healing was 20.2 weeks. Sixteen patients underwent surgery including anterior screw fixation (6 cases), posterior C1-2 screw fixation (8), and transarticular screw fixation (2) for healing the odontoid fractures (11 type II fractures, 5 type III fractures). Fifteen (93.8%) out of 16 patients who underwent surgery achieved healing of cervical fractures. The average bone healing time was 17.6 weeks. Conclusion : The overall healing rate was 60% after HVI and 93.8% with surgical management. Patients treated with surgery showed a higher fusion rate and shorter bony healing time than patients who received HVI. However, prospective studies are needed in the future to define better optimal treatment and cost-effective perspective for the treatment of odontoid fractures.
#Cervical fracture #Odontoid fracture #Operation #Halovest #Bony healing

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참고문헌 (26)

참고문헌 신청
Anderson LD / 1974 / Fractures of the odontoid process of the axis / J Bone Joint Surg Am 56:1663~1674 google schola Apuzzo ML / 1978 / Acute fractures of the odontoid process. An analysis of 45 cases / J Neurosurg 48:85~91 google schola Bohlman HH / 1979 / Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature / J Bone Joint Surg Am 61:1119~1142 google schola Campanelli M / 1999 / Posterior C1-C2 transarticular screw fixation in the treatment of displaced type II odontoid fractures in the geriatric population--review of seven cases / Surg Neurol 51:596~601 google schola 최준웅 / 2005 / 축추-환추간 경관절 나사못 고정술 치료의 결과 및 합병증 / 대한신경외과학회지 37(3):201~206 dbpia

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