in their prospective study on older patients undergoing either surgery or conservative treatment for odontoid fractures reported a slight trend toward higher complication rates in the conservative group (30%) compared to that in the surgical group (36%) ( 30 ).
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Morbidity and mortality related to type II odontoid fractures in octogenarians undergoing surgery: a retrospective study with 5 year follow up.
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suggested that operative management of such fractures leads to better functional outcomes, but this did not reach statistical significance ( 30 ).