Challenges of Treating a C2 Odontoid Fracture in an Elderly Patient
Author Information
Author(s): Muacevic Alexander, Adler John R, Melin Davis A, Rich Ethan D, Despins Stephen J
Primary Institution: Liberty University College of Osteopathic Medicine, Lynchburg, USA
Hypothesis
How to develop a treatment plan for a Type II odontoid fracture in an elderly patient with multiple comorbidities?
Conclusion
The patient chose hospice care due to his multiple comorbidities and the risks associated with surgery.
Supporting Evidence
- Odontoid fractures are common in elderly patients and can lead to high morbidity and mortality.
- Type II odontoid fractures have limited healing potential due to poor blood supply.
- Non-operative treatment options include cervical orthoses, which can help with bony consolidation.
- Operative management may improve outcomes but carries its own risks, especially in frail patients.
Takeaway
An 88-year-old man with a neck fracture decided not to have surgery because he was too sick, and he is now receiving hospice care.
Methodology
Case report detailing the patient's history, examination, imaging results, and treatment decisions.
Potential Biases
Potential bias due to the subjective nature of the patient's decision-making process.
Limitations
The case is based on a single patient, limiting generalizability.
Participant Demographics
An 88-year-old male with multiple comorbidities.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website