Is surgical treatment always gives better results in the management of type-2 Odontoid fracture in Elderly? Odontoid fracture accounts for 15%-20% of all cervical spine injuries. Among the odontoid fracture, type-2 fracture are the most common variety. It is associated with a high incidence of morbidity, mortality and nonunion in elderly irrespective of mode of treatment. Management of odontoid fracture cannot be standardized till to date and ideal treatment for these fractures still have some controversial issues. Objective of this review is to find controversial aspect of management along with opinion for find out a standard guideline. By searching the literature in Pubmed and Google scholar databases with key words; odontoid, fracture, type-2 management, nonoperative and operative management. Nonoperative treatment with halo vest is associated with very high rate of complication in elderly patient. When conservative treatment of this fractures is indicated that should be carried out with hard cervical collar or cervicothoracic orthosis. Current studies suggest that surgical management of odontoid fractures may offer a protective benefit but it is limited to patients younger than 75 years. Though surgical treatment has better outcome but is also limited by the co-mobidities and hazards of anesthesia and surgery. Conservative treatment of this fracture in elderly should preferably be carried out with hard collar or halothoracic braces avoiding halo vest. Surgical treatment is associated with little advantage but should be choosen with proper attention to age, comorbidities, fracture geometry and it is better to individualize the treatment strategy. In elderly surgical treatment should be selected judiciously taking into account of its potential benefit in comparison to hazards.

Jagadish Chandra Ghosh specializes in diagnosing and treating conditions and injuries related to the musculoskeletal system, which includes bones, joints, ligaments, muscles, and tendons. He has a strong combination of technical skills, medical knowledge, and empathy, and they work closely with patients to understand their individual needs and provide personalized care. He also stays up-to-date with the latest advancements in his field, continuously honing his skills to deliver the best possible outcomes for their patients. . He achieved his degrees in MBBS and MS in Orthopedics. He has authored and co-authored multiple peer-reviewed scientific papers and presented works at many national and international conferences. His rea of interest is spine, joints, & orthopedics surgery.