Atestace Ortopedie a traumatologie
Czech Specialty Examination in Orthopaedics and Traumatology (Atestace — Ortopedie a traumatologie pohybového ústrojí)
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An 82-year-old female falls from standing height and sustains an Anderson-D'Alonzo Type II fracture of the odontoid process (dens) of the axis (C2) with 6 mm of posterior displacement. What anatomical characteristic explains the high risk of fibrous nonunion (> 30–50%) in Type II fractures compared to Type I or Type III, and what management is favored in this elderly patient?
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