Nonoperative management of Types II and III odontoid fractures: the Philadelphia collar versus the halo vest.

@article{Polin1996NonoperativeMO,
  title={Nonoperative management of Types II and III odontoid fractures: the Philadelphia collar versus the halo vest.},
  author={Richard S Polin and Tibor Szab{\'o} and Christopher A Bogaev and Robert Edward Replogle and John Anthony Jane},
  journal={Neurosurgery},
  year={1996},
  volume={38 3},
  pages={450-6; discussion 456-7}
}
The nonoperative management of patients with Types II and III fractures of the odontoid process consists of a prolonged course of cervical immobilization. The need for rigid fixation, demonstrated by the routine use of the halo vest in many institutions, has never been rigorously substantiated. We retrospectively analyzed our results with the nonsurgical management of odontoid fractures to ascertain whether cranial fixation affected overall outcome. Fifty-four patients managed at the University… CONTINUE READING

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