Spine Case 10 ED Management
Odontoid Fracture
ED Management
Odontoid fractures require orthopedic or neurosurgical consultation.
- Type I fractures are managed nonoperatively.
- Nondisplaced type II fractures are treated with a Halo vest.
- Displaced type II fractures are subject to non-union and often require surgery.
- Type III fractures disrupt the C2 ring and are unstable. However, they often do not require surgery.