$icd10 diagnosis for odontoid fracture type 2$

$icd10 diagnosis for odontoid fracture type 2$

The incidence of this injury increases with age, making OFx the most common CS-fx in the elderly population. Twenty percent of these fractures are odontoid fractures (OFx) of cervical vertebra 2 (C2). The incidence of traumatic cervical spine fractures (CS-fx) in the Norwegian population is 15/100,000/year. Hence, comorbidities and age should be considered for inclusion in the decision tree for the choice of treatment for OFx in future guidelines. Major comorbidities and an older age appear to be significant factors contributing to physicians’ decision to refrain from the surgical fixation of OFx. The most common reasons listed for choosing primary external immobilization instead of primary surgical fixation were an older age and comorbidities. The main deviation was the underuse of primary surgical fixation for type II OFx. The level of compliance with the treatment recommendations for OFx was low. Significant differences the in conversion rate were not observed between patients with type II and III fractures. Conversion from external immobilization alone to subsequent open surgical fixation was performed in 10% of patients. In the multivariate analysis, the following parameters were significantly associated with surgery as the primary treatment: independent living, less serious comorbidities prior to the injury, type II OFx and major sagittal translation of the odontoid fragment. The primary fracture treatment was rigid collar alone in 79% of patients and open surgical fixation in 21%. According to the Anderson and D’Alonzo classification, the OFx were type II in 199 patients (59%) and type III in 137 patients (41%). The median age of the patients was 80 years, and 45% were females. Three hundred thirty-six patients with an OFx were diagnosed, resulting in an overall incidence of 2.8/100000 persons/year.

$icd10 diagnosis for odontoid fracture type 2$

We present a prospective observational cohort study of all patients in the southeastern Norwegian population (3.0 million) diagnosed with a traumatic OFx in the period from 2015 to 2018. We suspect that this discrepancy might be due to the older age and comorbidities among patients with OFx. The level of compliance with this recommendation is unknown, and our hypothesis is that open surgical fixation is less frequently performed than recommended. Surgical fixation is recommended for type II and III odontoid fractures (OFx) with major translation of the odontoid fragment, regardless of the patient’s age, and for all type II OFx in patients aged ≥50 years.

$icd10 diagnosis for odontoid fracture type 2$

Icd10 diagnosis for odontoid fracture type 2