Related Experiment Video
Updated: Jan 31, 2026
08:25
Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
3.3K
Functional Outcome After Odontoid Fractures in the Elderly
Pasquale De Bonis1,2, Giorgio Trapella3,4, Lorenzo Mongardi3
1Neurosurgery, Sant'Anna University Hospital, Ferrara, Italy. pasquale.debonis@unife.it.
Acta Neurochirurgica. Supplement
|January 6, 2019
Summary
Quality of life after odontoid fracture treatment is crucial. Anterior screw fixation shows high functional outcomes, while halo devices and posterior approaches may offer less improvement, necessitating further research.
Area of Science:
- Orthopedics
- Geriatric Medicine
- Neurosurgery
Background:
- Odontoid fractures are common in elderly patients.
- Existing research primarily focuses on mortality and fusion rates, neglecting quality of life (QoL).
- Optimizing QoL is a key treatment goal alongside fracture healing.
Purpose of the Study:
- To evaluate the quality of life and functional outcomes in elderly patients treated for odontoid fractures.
- To compare the effectiveness of different treatment modalities on patient QoL.
Main Methods:
- A literature search was conducted using PubMed.
- Seven studies encompassing 402 patients with odontoid fractures were analyzed.
- Functional outcomes and limitations in daily activities were assessed for various treatments.
Main Results:
- Anterior screw fixation yielded good functional outcomes in 92.6% of patients, though potentially less effective in octogenarians.
- Posterior approaches showed mixed results, with up to 50% experiencing pain and limitations.
- Halo devices had poorer functional outcomes (77.3% free of limitations) compared to surgery.
- Collar treatment showed good functional outcomes in 89% of cases.
Conclusions:
- Treatment for odontoid fractures in the elderly should prioritize functional outcomes and QoL.
- Anterior screw fixation appears most effective, while outcomes for halo devices, posterior approaches, and collars require further investigation.
- Additional research is essential to fully understand functional outcomes for non-surgical and posterior surgical treatments.
Related Concept Videos
02:24Predicting Reaction Outcomes
10.8K
Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
10.8K
01:13Outcomes of Glycolysis
107.1K
Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
107.1K
01:27Fractures: Bone Repair
5.4K
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...
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...
5.4K
01:11Guidelines for Writing Outcome
3.9K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.9K
02:45Functional Groups
88.5K
Functional groups are a group of atoms with characteristic properties, which when linked to the carbon skeleton of a molecule, alter the properties of that molecule. For example, the presence of certain functional groups on a molecule will make them hydrophilic, whereas others will make them hydrophobic. These functional groups are an indispensable part of organic chemistry and important components of biological molecules, such as carbohydrates, proteins, lipids, and nucleic acids. Each...
88.5K
02:45Functional Groups
24.4K
24.4K