Low-Threshold-For-Surgery Versus Primarily-Conservative Treatment for Odontoid Fractures in the Elderly: Evaluating Practice Variation in The Netherlands.
Jeroen G J HuybregtsSamuel B PolakWilco C H JacobsIlse A Krekels-HuijbregtsAnouk Y J M SmeetsMark P ArtsWillem-Bart M SlooffF Cumhur ÖnerWilco C PeulHenk van SantbrinkCarmen L A Vleggeert-LankampPublished in: Global spine journal (2023)
Union and stability rates did not differ between the treatment strategies. Advanced age (≥80 years) negatively influenced both radiological outcome and mortality. No cases of secondary neurological deficits were identified, suggesting that concerns for the consequences of under-treatment may be unjustified.