$type 2 odontoid fracture icd 10$

$type 2 odontoid fracture icd 10$

TYPE 2 ODONTOID FRACTURE ICD 10 TRIAL

Major limitations are (1) the allocation bias of the open-label study design, (2) that only higher training levels of all core specialties of spine surgery are included in the surgical treatment arm and (3) that only one type of surgical stabilisation is investigated (posterior C1–C2 fusion), while other methods are not included in this study.

$type 2 odontoid fracture icd 10$

Using the NDI and EQ-5D as endpoints, future value-based decisions may consider quality-adjusted life years gained.

TYPE 2 ODONTOID FRACTURE ICD 10 TRIAL

USOFT is the first randomised controlled trial comparing non-surgical and surgical management of type-2 odontoid fractures in the elderly. The secondary endpoints are: EQ-5D score, activities of daily living (ADL), bony union, upper cervical stability and mortality. At 12 months, a dynamic radiographical investigation of upper cervical stability is performed. All participants are monitored with regard to the NDI, EuroQol score (EQ-5D), socio-demographics and computed tomography (CT) at the time of injury, at 6 weeks, 3 months and 12 months. The surgical group is treated with a posterior C1–C2 fusion. The non-surgical group is fitted with a rigid cervical collar for 12 weeks. By considering a 1-year mortality forecast of 29%, up to 25 participants are recruited in each group. A minimum of 16 patients are needed in each group to test the superiority with 80% power. The minimal clinically important difference of the NDI is 3.5 points. Excluded are patients with an American Society of Anaesthesiologists (ASA) score ≥ 4, dementia nursing care or anatomical cervical anomalies. Fifty consecutive patients aged ≥ 75 years, with displaced type-2 odontoid fracture, are randomised to non-surgical or surgical treatment. The Uppsala Study on Odontoid Fracture Treatment (USOFT) is a multicentre, open-label, randomised controlled superiority trial evaluating the clinical superiority of the surgical treatment of type-2 odontoid fractures, with a 1-year Neck Disability Index (NDI) as the primary endpoint. Due to the paucity of evidence, the treatment decision is often left to the discretion of the expert surgeon. doi:10.Displaced odontoid fractures in the elderly are treated non-surgically with a cervical collar or surgically with C1–C2 fusion. AOSpine-Spine Trauma Classification System: The Value of Modifiers: A Narrative Review With Commentary on Evolving Descriptive Principles. Occipitocervical Dissociation-Incidence, Evaluation, and Treatment. Atlanto-Occipital Dislocation-Part 2: The Clinical Use of (Occipital) Condyle-C1 Interval, Comparison with Other Diagnostic Methods, and the Manifestation, Management, and Outcome of Atlanto-Occipital Dislocation in Children. Imaging of Atlanto-Occipital and Atlantoaxial Traumatic Injuries: What the Radiologist Needs to Know. Riascos R, Bonfante E, Cotes C, Guirguis M, Hakimelahi R, West C. Reassessment of the Craniocervical Junction: Normal Values on CT. Rojas C, Bertozzi J, Martinez C, Whitlow J. Powers ratio >1 (insensitive to a vertical distraction injury or posterior dissociation) The key to the diagnosis, in addition to identifying gross disruption of the normal alignment of the atlanto-occipital joint, hinges on using a number of lines on the lateral horizontal shoot-through cervical spine film 1:īasion-dens interval (BDI) >10 mm in adults 3īasion-axial interval (BAI) >12 mm in adults The AO Spine classification of upper cervical injuries is another classification system split into location-specific patterns and then further subdivided according to injury type and presence of neurological signs and/or modifying factors. The Traynelis classification describes injuries according to the displacement of the occipital condyles relative to the atlas. The tectorial membrane and alar ligaments provide most of the stability to the atlanto-occipital joint, and injury to these ligaments results in instability due to low inherent osseous stability 3.

$type 2 odontoid fracture icd 10$

Type 2 odontoid fracture icd 10