Odontoid XXXX treated with halo-vest.

@entity1 @entity130 @entity174 @entity10492
In a consecutive series of 75 @entity1 with unstable cervical spine injuries treated with halo-vest, 1976-1984, a total of 14 @entity1 (comprising 18.7%) had odontoid @entity174 . Of the @entity1 with odontoid @entity174 , 1 @entity1 had an incomplete @entity10492 . All @entity1 except 1 were treated within the first day after the @entity130 . A total of 50% were injured in motor vehicle accidents. The odontoid fracture was reduced by skull traction and then stabilized with a halo-vest for 12 weeks. One @entity1 died within the first 2 weeks after the injury. There were no other serious complications during the treatment. The initial dislocation and reduction was studied. Ten @entity1 were followed-up after 2 years. Another 2 @entity1 died of other causes during that time. One had an Anderson-d'Alonzo @entity174 that failed to unite. Different prognostic factors were analyzed. @entity174 gap and fracture type may have contributed to nonunion. Only 1 @entity1 was totally free from symptoms after 2 years. The halo-vest was well tolerated in all @entity1 and assured a high percentage of healing.
