| Objective:To analyze the curative effect of odontoid fracture through different operative methods, and then to guide
the subsequent clinical treatment of odontoid fracture.Methods:We analyzed 26 cases of odontoid fracture, and assessed operation time,
bleeding volume, average hospitalization time, postoperative pain score, and neck disability index score ( NDI ).Results:The operation
time was 105.7 ± 35.3 min, the bleeding volume was 62.1± 18.5 mL, the average time of hospitalization was 7± 1.9 days, pain score
was 3.6± 1.7, NDI was 24.3 ± 11.7% in odontoid screw fixation group. And the operation time was 148.2 ± 36.2 min, the bleeding
volume was 338.4± 143.3 ml, the average time of hospitalization was 11.2± 2.1 days, pain score was 5.1 ± 1.4, NDI was 33.6 + 13.4%
in the posterior atlantoaxial fusion group.Conclusion:The method of odontoid screw fixation has the advantages of shorter operation
time, less bleeding, shorter hospitalization time, lower pain score, and less effect on cervical function. However, the method of
atlantoaxial fusion is adapted to a wide range of odontoid fracture, and the operation is not much difficult. But this method has much
influence on cervical activity. |
