Objective: The morbidity and mortality are high for traumatic upper cervical spine instability with cervico-medullary compression. In a clinical retrospective study, the clinical and radiographic results of occipitocervical (OC) fusion using posterior atlantoaxial transpedicular screw fixation in 12 patients with traumatic upper cervical spine instability was reviewed. Methods: Twelve patients ...

BACKGROUND Scientific evidence is mounting for an association between traumatic brain injury and enhanced osteogenesis. The aim of this study was to correlate the in vitro osteoinductive potential of serum with the features of fracture-healing and the extent of brain damage in patients with severe traumatic brain injury and bone fracture. METHODS Patients with a long-bone fracture and a traum...

Cases Traumatic intracranial aneurysm following blunt head injury is uncommon but can be induced by extension of skull base fracture and causes unexpected hemorrhagic complications. We present two cases of traumatic intracranial aneurysm in the paraclinoid area that was revealed by delayed massive epistaxis. Lack of initial neurological deficits omitted screening for cerebrovascular injury. O...

Posterior hip dislocation with greater trochanter fracture is an uncommon injury pattern in the acute trauma patient. Frequently associated includes a combination of posterior wall acetabulum, head femur fracture, intertrochanteric and even most severe type combined acetabular fracture. We report 42-year-old man post traumatic bilateral injuries irreducible isolated trochanteric successfully ma...

Post-traumatic meningioma is a matter of controversy with many reported cases of cranial post-traumatic meningioma and rare cases for such pathology in human spine. The author reports a 61-year-old woman who had post-traumatic spinal meningioma at the site of old traumatic fracture for 26 year after her initial trauma. The patient treated successfully with microsurgical resection and posterior ...

OBJECTIVE The purpose of this study was to research the effectiveness of conservative treatment of stable post-traumatic thoracolumbar vertebral fractures in elderly patients. METHODS The study included 21 elderly patients (13 females, 8 males) with post-traumatic thoracolumbar compression fracture who were treated with a brace. Fractures without any trauma history, pathological fractures, pa...

RATIONALE Cervical nerve root injury is one of the complications of traumatic cervical spine fracture. Although one of the most effective treatments to reduce inflammation in nerve root injuries is the use of corticosteroids or nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids and NSAIDs can inhibit bone healing. So, when nerve injury accompanies bone fractures, corticosteroids and...

BACKGROUND AND PURPOSE The development of a delayed epidural hematoma as a result of decompressive craniectomy represents an urgent and potentially lethal complication in traumatic brain injury. The goal of this study was to determine the incidence of delayed epidural hematoma and whether patterns of skull fractures on the preoperative CT scan could predict risk of a delayed epidural hematoma. ...

Fractures of the proximal humerus can lead to malalignment of the humeral head, necrosis and post-traumatic osteoarthritis. In such cases surface replacement might be a promising option. A total of 28 shoulders with glenohumeral arthritis subsequent to a fracture underwent surface replacement arthroplasty of the humeral head in patients with a mean age of 60 years (35 to 83). On the basis of th...