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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
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Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jun 11, 2026

Less-Invasive Technique for Non-stabilized Mandibular Fracture in Mouse Models
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Less-Invasive Technique for Non-stabilized Mandibular Fracture in Mouse Models

Published on: September 27, 2024

Odontoid fractures: update on management.

Wellington K Hsu1, Paul A Anderson

  • 1Department of Orthopaedic Surgery and the Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|July 3, 2010
PubMed
Summary

Odontoid fracture management has evolved due to high mortality. Early surgical intervention for type II fractures is increasingly considered, though complications remain a concern.

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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Area of Science:

  • Orthopedic surgery
  • Neurosurgery
  • Trauma care

Background:

  • Odontoid fractures are associated with significant morbidity and mortality.
  • Nonsurgical treatment of type II odontoid fractures often results in nonunion.
  • Elderly patients present unique challenges in managing odontoid fractures.

Purpose of the Study:

  • To review the evolving management strategies for odontoid fractures.
  • To highlight the shift towards earlier surgical intervention for specific fracture types.
  • To discuss the complexities of treatment decisions, especially in elderly populations.

Main Methods:

  • Review of current literature on odontoid fracture treatment.
  • Analysis of outcomes associated with surgical and nonsurgical interventions.
  • Evaluation of new classification systems for guiding treatment.

Main Results:

  • Aggressive surgical treatment aims to improve functional rehabilitation but carries complication risks.
  • Evolving evidence supports various surgical techniques, including anterior screw fixation and posterior spinal fusion.
  • Halo-vest immobilization remains a treatment option.

Conclusions:

  • Management of odontoid fractures is dynamic, balancing union rates with surgical risks.
  • Evidence-based literature is crucial for refining treatment algorithms.
  • Optimizing patient outcomes requires careful consideration of individual factors and available surgical options.