Type II geriatric odontoid fractures are increasingly common as the elderly population continues to grow. Optimal treatment for this clinical problem is elusive, as many of these patients have multiple co-morbidities, including dementia. Surgical indications are not standardized, due to the lack of well-controlled trials. However, several recently published studies have favored surgical intervention, citing higher rates of fusion and better outcomes.^1-4

中文翻译：

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评论：老年人 II 型齿状突骨折的保守治疗：骨愈合与不愈合的回顾性观察比较。

随着老年人口的不断增长，II 型老年齿状突骨折越来越常见。这一临床问题的最佳治疗方法是难以捉摸的，因为这些患者中有许多有多种合并症，包括痴呆症。由于缺乏对照良好的试验，手术指征未标准化。然而，最近发表的几项研究支持手术干预，理由是融合率更高，结果更好。^1-4