Prospective cohort study reveals reduced perioperative mortality following early surgical stabilization in geriatric patients, suggesting surgery significantly improves survival.
After institutional review defined an unacceptable mortality rate in nonoperative treatment of elderly patients with odontoid process fracture without neurological deficit, we undertook a prospective study to determine the influence of early surgical stabilization on perioperative mortality in geriatric odontoid process fracture patients without neurologic injury. Analysis suggests that acute perifracture mortality in this high-risk group can be significantly decreased and potentially eliminated by this approach.
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Bednar et al. (1995) studied this question.
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