caa a22 4500 445835214 CHVBK 20180317145328.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s00586-011-1903-6 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1903-6 Radiographic analysis of type II odontoid fractures in a geriatric patient population: description and pathomechanism of the "Geier”-deformity [Elektronische Daten] [Maximilian Reinhold, C. Bellabarba, R. Bransford, J. Chapman, W. Krengel, M. Lee, T. Wagner] Introduction: Type II odontoid fractures are one among the most common cervical spine fractures in the elders. We reviewed a consecutive series of patients, aged 65years and older, presenting to our institution with type II odontoid fractures. Our analysis focused on the radiographic outcome, union rate and the development of cervical spine postural deformity. Patients/methods: Indications for surgical treatment (OP) included displaced or unstable injuries. Stable, non-displaced injuries or patients with significant co-morbidities were treated nonoperatively (non-op). Results: Ninety patients (50 f, 40 m) with an average age of 83years (65-101) were identified. 31 (34.4%) patients were received OP and 57 (63.3%) were received non-op treatments. The hospital length of stay was significantly longer after OP (mean 10 days vs. 6 days non-op) treatment (p=0.007). At follow-up, higher union rates were noted in the OP (76.2%) than in the non-op group (58.3%). Conclusion: We observed a characteristic cervical spine deformity in geriatric patients with type II odontoid fractures, and have termed this the "Geier-deformity”. Clinical findings of the deformity include sagittal imbalance and kyphosis of the lower cervical spine. Springer-Verlag, 2011 Cervical spine nationallicence Odontoid fracture nationallicence Geriatric patients nationallicence Radiographic analysis nationallicence Operative non-operative treatment nationallicence Reinhold Maximilian Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut Bellabarba C. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut Bransford R. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut Chapman J. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut Krengel W. Department of Orthopaedic Surgery, Seattle Children's, Seattle, WA, USA aut Lee M. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut Wagner T. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut European Spine Journal Springer-Verlag 20/11(2011-11-01), 1928-1939 0940-6719 20:11<1928 2011 20 586 https://doi.org/10.1007/s00586-011-1903-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1903-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Reinhold Maximilian Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut NATIONALLICENCE 700 1- Bellabarba C. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut NATIONALLICENCE 700 1- Bransford R. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut NATIONALLICENCE 700 1- Chapman J. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut NATIONALLICENCE 700 1- Krengel W. Department of Orthopaedic Surgery, Seattle Children's, Seattle, WA, USA aut NATIONALLICENCE 700 1- Lee M. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut NATIONALLICENCE 700 1- Wagner T. Department of Orthopaedic Surgery/Spine Services, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, 98104, Seattle, WA, USA aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/11(2011-11-01), 1928-1939 0940-6719 20:11<1928 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer