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Table 2 Uni- and multivariate analyses of variables potentially associated with the use of surgery as the primary treatment

From: Odontoid fractures: impact of age and comorbidities on surgical decision making

Variable

Primary conservative treatment

N (%)

Primary surgery

N (%)

ORa (univariate)

OR (multivariate)

Sex

Female

129 (86.0)

21 (14.0)

 

Male

137 (73.7)

49 (26.3)

2.20 (1.26–3.93, p = 0.006)

1.44 (0.71–2.95, p = 0.311)

Age

Mean (SDb)

78.3 (16.1)

71.0 (11.4)

0.97 (0.96–0.99, p = 0.001)

1.00 (0.98–1.02, p = 0.904)

Functional status

Dependent

110 (95.7)

5 (4.3)

 

Independent

155 (70.5)

65 (29.5)

9.23 (3.95–27.01, p < 0.001)

5.86 (2.15–19.08, p = 0.001)

ASAc score

ASA score of 1–2

77 (63.6)

44 (36.4)

 

ASA score of 3–4

189 (87.9)

26 (12.1)

0.24 (0.14–0.42, p < 0.001)

0.30 (0.13–0.65, p = 0.003)

Odontoid fracture type

Type II

136 (68.0)

64 (32.0)

 

Type III

130 (95.6)

6 (4.4)

0.10 (0.04–0.22, p < 0.001)

0.08 (0.03–0.19, p < 0.001)

Odontoid translation

None-Mild

225 (85.2)

39 (14.8)

 

Majord

38 (55.1)

31 (44.9)

4.71 (2.63–8.47, p < 0.001)

5.59 (2.70–11.99, p < 0.001)

  1. aOR Odds ratio
  2. bSD Standard deviation
  3. cASA American Society of Anesthesiologists
  4. dMajor odontoid translation - ≥5 mm anterior or ≥ 3 mm posterior