Surgical Versus Conservative Management for Treating Unstable Atlas Fractures: A Multicenter Study.

ABSTRACT:

Objective

This multicenter study compared radiological parameters and clinical outcomes between surgical and nonsurgical management and investigated treatment characteristics associated with the successful management of unstable atlas fractures.

Methods

We retrospectively evaluated 53 consecutive patients with unstable atlas fracture who underwent halo-vest immobilization (HVI) or surgical fixation. Clinical outcomes were assessed using neck visual analogue scale and disability index. The radiological assessment included total lateral mass displacement (LMD) and the anterior atlantodental interval (AADI).

Results

Thirty-two patients underwent surgical fixation and 21 received HVI (mean follow-up, 24.9 months). In the surgical fixation, but not in the HVI, LMD, and AAD

SUBMITTER: Shin JJ 

PROVIDER: S-EPMC9816592 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature