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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXVI | Pages 63 - 63
1 Jun 2012
Maggs JL Clarke AJ Hutton MJ Chan D
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Purposes of the study

The most common fracture of the cervical spine in the elderly population is a fracture of the odontoid peg. Such fractures are usually not displaced and these are commonly treated non-operatively. Rarely though, peg fractures are displaced and then their management is less straightforward. This is in part because the group of patients who sustain them frequently have complex and pre-existing medical co-morbidities and in part because a new neurological injury may have been sustained as a result of the peg fracture itself.

Many options for the management of displaced peg fractures, both operative and non-operative have been described in the literature and discussion continues as to which technique is superior and in which patient population. The purpose of this study was to follow-up those patients who were managed operatively in our unit between 2007 and 2009.

Methods and Results

We present our case series of 4 patients who sustained significantly displaced fractures of the odontoid peg with accompanying neurological injury, who were treated with posterior stabilisation using the Harms technique.