Treatment of cervical fracture and dislocation by improving the anterior cervical technique.Anterior cervical approach has been extensively used in treating cervical spine fractures and dislocations. However, when this approach is used in the treatment of locked facet joints, an unsatisfactory intraoperative reduction and prying reduction increases the risk of secondary spinal cord injury. Thus...

A substantial portion of cervical spine injuries occurs due to maxillofacial trauma. delay in the identification can result major neurological issues, paralysis, and even death. Therefore, early detection fractures patients with trauma is crucial. Aim: The goal study assess incidence cervico-spinal oral Methods: This cross-sectional was carried out at Oral Maxillofacial Surgery department Mayo ...

OBJECTIVE We wished to evaluate the incidence of non-contiguous spinal injury in the cervicothoracic junction (CTJ) or the upper thoracic spines on cervical spinal MR images in the patients with cervical spinal injuries. MATERIALS AND METHODS Seventy-five cervical spine MR imagings for acute cervical spinal injury were retrospectively reviewed (58 men and 17 women, mean age: 35.3, range: 18 8...

BACKGROUND Cervical spine fractures with spinal cord injury (CFSCI) can be devastating. We describe the epidemiology of children and adolescents with CFSCI. METHODS Using the Nationwide Inpatient Sample (NIS) database, we identified 4418 patients (≤18 years old) who had CFSCI from 2000 through 2010. Outcomes of interest were patient characteristics (age, sex), injury characteristics [fracture...

Nonunion and C1-C2 instability of odontoid fractures usually result from delayed diagnosis and inappropriate treatment. However, the available treatment options for odontoid fractures remain controversial. The authors evaluated the effectiveness of internal screw fixation via the C1 and C2 pedicle in cases of old odontoid fractures. This retrospective study included 21 patients with old odontoi...

A 53-year-old man with ankylosing spondylitis (AS) was found unresponsive on the ground. He was comatose and quadriplegic with absent cough and gag reflexes but preserved corneal and pupillary responses. CT of the spine (figure) showed displaced C2 fracture, severely deformed spinal cord, and complete spinal ankylosis. He developed hemodynamic instability with persistently poor arousal, and his...

STUDY DESIGN Retrospective review. PURPOSE We retrospectively reviewed our patients with ankylosing spondylitis (AS) to identify their patterns of spinal fractures to help clarify management strategies and the morbidity and mortality rates associated with this group of patients. OVERVIEW OF LITERATURE Because of the brittleness of bone and long autofused spinal segments in AS, spinal fractu...

BACKGROUND Multiple fractures of the atlas and axis are rare. The management of multiple fragment axis fractures and unstable atlas fractures is still challenging for the spinal surgeon. There are no published reports of similar fractures with 3-part fracture of axis associated with an unstable atlas fracture. CASE SUMMARY We present a patient with concurrent axis and atlas fractures, which h...

The objective of this study was to review the effect of helmet use on the frequency of cervical or thoracic fractures experienced in motorcycle crashes. This prospective cohort study was conducted at one hospital, St. Joseph’s Hospital Medical Center in central Phoenix, Arizona. Cases were 422 motorcycle crash victims treated during the 3 years of the study (July 1, 2002 through June 30, 2005),...

OBJECTIVE To estimate the incidence and to describe the clinical results of the nonoperative management of vertical C2 body fractures. METHODS An 8-year retrospective review of upper cervical spine injuries from the registry of a level I trauma center identified 21 patients with a vertical C2 body fracture. RESULTS Sixteen coronally oriented Type 1 vertical C2 body fractures and 5 sagittall...