Operative Versorgung der Typ 2 Dens Fraktur bei >80j – Synthese

Zusammenfassung

Typ 2 Dens axis Frakturen bei Patienten über 80 Jahre können erfolgreich konservativ oder operativ behandelt werden. Komorbiditäten bzw. die Gebrechlichkeit der Patienten sind mit entscheidend für die Mortalität und das klinische Ergebnis. Dislozierte Frakturen sollten bevorzugt einer operativen Therapie unterzogen werden. Sehr hochbetagte Patienten profitieren eher nicht von einer operativen Therapie.

Abstract

Type 2 dens axis fractures in patients above the age of 80 can be treated successfully with both surgical and non-surgical treatment. Comorbidities and frailty are important factors for mortality and outcome. Dislocated fractures should preferably be treated surgically. However, patients well advanced in years do not benefit from surgery.

Schlüsselwörter

Geriatrische Dens axis Fraktur - Typ 2 Dens axis Fraktur - chirurgische Therapie - Ergebnis

Keywords

Geriatric odontoid frature - type 2 odontoid fracture - surgical treatment - outcome

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