Alluri R, Bouz G, Solaru S, et al. - A retrospective database analysis was conducted to distinguish nationwide temporal trends in the management of geriatric odontoid fractures and to correlate comorbidities, inpatient complications, hospital characteristics, and cost between patients receiving operative versus nonoperative management. Between the years 2003 and 2017, researchers distinguished patients between ages 65 to 90 years with odontoid fractures who had undergone operative or nonoperative management in the National Inpatient Sample database. They compared year of injury, demographic variables, comorbidities, inpatient complications, mortality, length of stay, inpatient cost, and hospital characteristics between operative and nonoperative treatment groups. The final-analysis included 32,419 patients (average age 77 yr, 54% female). The results reveal a clear national paradigm shift in the management of geriatric odontoid fractures, wherein operative management nearly doubled from 46% in 2003 to 86% in 2017.