TREATMENT OF ODONTOID FRACTURES

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorPONTIN, Pedro Augusto
dc.contributor.authorBUMLAI, Renam Urt Mansur
dc.contributor.authorLETAIF, Olavo Biraghi
dc.contributor.authorDAMASCENO, Marcelo Loquette
dc.contributor.authorCRISTANTE, Alexandre Fogaca
dc.contributor.authorMARCON, Raphael Martus
dc.contributor.authorIUTAKA, Alexandre Sadao
dc.contributor.authorOLIVEIRA, Reginaldo Perilo
dc.contributor.authorBARROS FILHO, Tarcisio Eloy Pessoa de
dc.date.accessioned2017-11-27T16:33:02Z
dc.date.available2017-11-27T16:33:02Z
dc.date.issued2011
dc.description.abstractObjective: This article describes a clinical and radiologic retrospective analysis of odontoid fractures in 20 patients accompanied by the IOT-HCFMUSP, from 2004 to 2010. Methods: These fractures were stratified according to their classification (AO/Anderson and D'Alonzo), epidemiologic profile, type of treatment, time to consolidation of the fracture, and complications. Results: It was observed that there was a higher number of odontoid fractures in males (4: 1), between the third and fourth decades of life (60%), and that the main causes of the trauma were falling from heights (60%) and car accidents (25%). Also, 15% of the cases presented neurological deficits. The most prevalent type of odontoid fracture was Type II (55%) followed by Type III (40%). The most prevalent type of treatment used for Type II and III fractures was surgical (73%) and non-surgical (87.5%), respectively. Consolidation of the fracture took place within 16 weeks in 87.5% of surgically treated cases, and in 54.5% of those treated non-surgically. No cases of pseudoarthrosis were found. Conclusion: The surgical treatment of Type II odontoid fractures showed satisfactory results in relation to time to consolidation of the fracture and low incidence of complications, as did the non-surgical treatment used for the Type III fractures. Level of Evidence: Level IV, case series.
dc.description.abstractOBJETIVO: Este artigo faz a avaliação retrospectiva clínica e radiológica das fraturas do odontóide de 20 pacientes atendidos no IOT-HCFMUSP, durante o período de 2004-2010. MÉTODOS: Foi realizado a estratificação destas fraturas segundo sua classificação (AO/Anderson e D'Alonzo), perfil epidemiológico, tipo de tratamento, tempo de consolidação e complicações. RESULTADOS: Observou-se maior número de casos da fratura do odontóide em pacientes do sexo masculino (4:1), com idade entre 3ª e 4ª década de vida (60%), vítimas de quedas de altura (60%) e acidentes automobilísticos (25%) como principais mecanismos de trauma, e 15% dos casos apresentaram-se com déficit neurológico. A fraturas do odontóide de maior prevalência foram as do tipo II (55%), seguidas pelas fraturas do tipo III (40%). Os tratamentos mais empregados nas fraturas do tipo II e III foram, respectivamente, o cirúrgico (73%) e conservador (87,5%). A consolidação ocorreu em até 16 semanas para 87,5% dos casos de tratamento cirúrgico e para 54,5% dos tratados conservadoramente. Não houve casos de pseudoartrose. CONCLUSÃO: O tratamento cirúrgico das fraturas do odontóide do tipo II apresentou resultados satisfatórios em relação ao tempo consolidação e baixa incidência de complicações, bem como o tratamento conservador destinado às fraturas do tipo III.Nivel de Evidência IV, série de casos.
dc.description.indexPubMed
dc.identifier.citationACTA ORTOPEDICA BRASILEIRA, v.19, n.4, p.189-192, 2011
dc.identifier.issn1413-7852
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/23240
dc.language.isoeng
dc.language.isopor
dc.publisherATHA COMUNICACAO & EDITORA
dc.relation.ispartofActa Ortopedica Brasileira
dc.rightsopenAccess
dc.rights.holderCopyright ATHA COMUNICACAO & EDITORA
dc.subjectSpinal fractures
dc.subjectOdontoid process/surgery
dc.subjectOdontoid process/therapy
dc.subjectAxis
dc.subjectFraturas da coluna vetebral
dc.subjectProcesso odontoide
dc.subjectÁxis
dc.subject.otherscrew fixation
dc.subject.otheraxis fractures
dc.subject.othermanagement
dc.subject.otherfusion
dc.subject.wosOrthopedics
dc.titleTREATMENT OF ODONTOID FRACTURES
dc.title.alternativeTratamento das fraturas do processo odontóide
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalPONTIN, Pedro Augusto:Univ Fed Sao Paulo, Fac Med, Hosp Clin, Orthoped & Traumatol Inst, Sao Paulo, Brazil
hcfmusp.author.externalBUMLAI, Renam Urt Mansur:Univ Fed Sao Paulo, Fac Med, Hosp Clin, Orthoped & Traumatol Inst, Sao Paulo, Brazil
hcfmusp.citation.scopus8
hcfmusp.contributor.author-fmusphcOLAVO BIRAGHI LETAIF
hcfmusp.contributor.author-fmusphcMARCELO LOQUETTE DAMASCENO
hcfmusp.contributor.author-fmusphcALEXANDRE FOGACA CRISTANTE
hcfmusp.contributor.author-fmusphcRAPHAEL MARTUS MARCON
hcfmusp.contributor.author-fmusphcALEXANDRE SADAO IUTAKA
hcfmusp.contributor.author-fmusphcREGINALDO PERILO OLIVEIRA
hcfmusp.contributor.author-fmusphcTARCISIO ELOY PESSOA DE BARROS FILHO
hcfmusp.description.beginpage189
hcfmusp.description.endpage192
hcfmusp.description.issue4
hcfmusp.description.volume19
hcfmusp.origemWOS
hcfmusp.origem.scopus2-s2.0-84997448813
hcfmusp.origem.wosWOS:000296096000003
hcfmusp.publisher.citySAO PAULO SP
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-05-17
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