1. Non-union rate of type II and III odontoid fractures in CPPD versus a control population
- Author
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Jonelle M. Petscavage-Thomas, Aaron Wold, and Eric A. Walker
- Subjects
Male ,musculoskeletal diseases ,medicine.medical_specialty ,Radiography ,Chondrocalcinosis ,Non union ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Odontoid Process ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,In patient ,Calcium Pyrophosphate Dihydrate Deposition ,Aged ,Retrospective Studies ,Picture archive ,Odontoid fracture ,business.industry ,Significant difference ,Middle Aged ,Surgery ,Radiology Information Systems ,Case-Control Studies ,Fractures, Ununited ,Orthopedic surgery ,Spinal Fractures ,Female ,business ,030217 neurology & neurosurgery - Abstract
The objective was to determine if there is a significant difference between rates of non-union of type II and III odontoid fractures in patients with calcium pyrophosphate dihydrate deposition (CPPD) compared with a control population. A 10-year retrospective picture archive and communications system review was performed of 31 CPPD patients and 31 control patients. Imaging studies were reviewed for radiographic or CT evidence of osseous union and complications. There was a significant difference in the rates of non-union between the two groups, with the non-union rate reaching 90.3% in the CPPD group and 32% in the control group. Comparing the degree of displacement and angulation of the two groups did not show a significant difference. The results indicate that odontoid fracture non-union rates are significantly higher in CPPD patients and should be taken into consideration when diagnosing odontoid fractures and deciding on appropriate treatment.
- Published
- 2018
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