The Most Influential Publications in Odontoid Fracture Management

Chester J. Donnally, Evan J. Trapana, Spencer W. Barnhill, Kevin J. Bondar, Sebastian Rivera, Jonathan I. Sheu, Michael Y. Wang

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Objective: Management of odontoid fractures has improved and evolved due to advancing diagnostic guidelines and understanding of long-term outcomes. The aim of this study was to quantify the most frequently cited publications pertaining to odontoid fractures and determine their validity as a tool to practice evidence-based medicine. Methods: A Clarivate Analytics Web of Science search was used to identify all articles related to odontoid fractures. The 50 most cited articles were reviewed. Criteria included the frequency of citation, year of publication, countries of origin, journal, levels of evidence (LOE), article types, and supporting authors and institutions. Results: The top 3 most cited papers were “Radiological and anatomical evaluation of the atlantoaxial transarticular screw fixation technique” (Madawi 1997), “Atlantoaxial fixation using, plate and screw method: A report of 160 treated patients” (Goel 2002), and “The anatomical suitability of the C1-2 complex for transarticular screw fixation” (Paramore 1996). Spine (n = 13; 26%) was the most common journal, and the most frequent decade was 2000–2009 (n = 18; 36%). The United States was associated with the greatest number of publications, and the most common article type was clinical outcomes (n = 16; 32%). The most recurring LOE was IV (n = 20; 40%). Conclusions: This review provides a comprehensive understanding of the historical literature pertaining to odontoid fracture management. There is a paucity of high LOE publications regarding this topic, and clinicians should strive to provide more high-level studies. This article can help practitioners navigate the vast body of literature about this topic and identify high-impact publications.

Original languageEnglish (US)
Pages (from-to)41-48
Number of pages8
JournalWorld neurosurgery
StatePublished - Mar 2019


  • Bibliometric study
  • Citation analysis
  • Elderly fracture management
  • Most influential
  • Odontoid
  • Odontoid fracture

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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