Acrylic fixation in displaced dens fractures

Area of Science:

• Orthopedic Surgery
• Traumatology
• Neurosurgery

Background:

• Odontoid process fractures, particularly those with displacement in elderly patients, present significant treatment challenges.
• Traditional management often involves prolonged immobilization, risking complications like non-union and functional decline.

Observation:

• This study investigated a novel operative approach using stable acrylic fixation for displaced odontoid process fractures in geriatric individuals.
• The technique aimed to provide immediate stability without the need for external fixation devices.

Findings:

• The stable acrylic fixation technique demonstrated successful union in non-union cases of displaced odontoid process fractures.
• Patients achieved immediate mobilization post-operatively, significantly reducing the period of immobility.
• No external fixation was required, simplifying patient care and recovery.

Implications:

• This operative method offers a promising alternative for managing complex odontoid fractures in the elderly population.
• Early mobilization facilitated by this technique may improve patient outcomes and reduce associated morbidity.
• Further research should explore long-term efficacy and patient-reported functional recovery.