Surgery Decreases Nonunion, Myelopathy, and Mortality for Patients With Traumatic Odontoid Fractures: A Propensity Score Matched Analysis.

6 - 9 Indeed, a recent meta-analysis showed a trend toward significance for a mortality benefit with surgical stabilization. 10 However, there is significant selection bias in the existing literature because many series identify differences between surgical and nonoperative groups, but do not control or adjust for them. 5 , 8 , 10 - 18 In the trauma context, 30-day mortality may be driven by associated injuries other than the odontoid fracture itself.

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