Comparative Effectiveness of Conservative Management Versus Surgical Fixation in Acute Type II Odontoid Fractures
Surgical fixation positively predicts fracture union, whereas advanced age, smoking, osteoporosis, frailty, and angulation (≥11°) reduce union odds. Surgery may enhance union odds, but conservative management remains effective with better pain control, without compromising long-term functional outcomes.
Authors
- Martina Stippler (ORCID: https://orcid.org/0000-0003-3284-7639)
- Felipe Ramirez‐Velandia (ORCID: https://orcid.org/0000-0003-1041-6360)
- Forough Yazdanian (ORCID: https://orcid.org/0000-0002-6850-0525)
- Fernando Terry (ORCID: https://orcid.org/0000-0002-2177-1643)
- Alejandro Enríquez-Marulanda (ORCID: https://orcid.org/0000-0001-6091-390X)
- Punit Pandya
- Ziev B. Moses
- Efstathios Papavassiliou (ORCID: https://orcid.org/0000-0002-8146-4872)
- Daniel Sconzo (ORCID: https://orcid.org/0000-0001-8933-9083)
- Omar Alwakaa (ORCID: https://orcid.org/0009-0008-6441-5420)
Institutions
- Beth Israel Deaconess Medical Center (US)
- Harvard University (US)
Publication Details
- Journal
- Neurosurgery
- Published
- 2025-05-19
- DOI
- https://doi.org/10.1227/neu.0000000000003533
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00