1,178 results match your criteria C1 Fractures


Hangman's fracture: Management strategy and healing rate in a prospective multi-centre observational study of 34 patients.

Orthop Traumatol Surg Res 2019 Apr 17. Epub 2019 Apr 17.

Société Française de Chirurgie Rachidienne, 56, rue Boisonnade, 75014 Paris, France.

Background: Hangman's fractures account for 15% to 20% of all cervical spine fractures. The grading system developed by Effendi and modified by Levine and Edwards is generally used as the basis for management decisions. Nonetheless, the optimal management remains controversial. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.03.009DOI Listing

[Treatment of distal humerus fracture with unexposed ulnar nerve medial elbow incision and anatomical locking compression plate].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):440-444

Department of Orthopaedics, Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou Sichuan, 646000,

Objective: To investigate the feasibility and effectiveness of unexposed ulnar nerve medial elbow incision, open reduction and internal fixation of anatomical locking compression plate (LCP) for distal humerus fractures.

Methods: Fourteen patients with distal humerus fracture were treated between January 2014 and June 2017. There were 5 males and 9 females, aged 18-85 years (mean, 65. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201808077
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http://dx.doi.org/10.7507/1002-1892.201808077DOI Listing
April 2019
4 Reads

Age and "general health"-beside fracture classification-affect the therapeutic decision for geriatric pelvic ring fractures: a German pelvic injury register study.

Int Orthop 2019 Apr 4. Epub 2019 Apr 4.

Department of Trauma Surgery, BG Trauma Centre Murnau, Professor Küntscher Str. 8, 82418, Murnau, Germany.

Purpose: Pelvic ring fractures in the elderly gain increasing importance. Nonetheless, data on factors influencing treatment decision in relation to fracture classification, age, and the resulting treatment are still rare.

Methods: Prospectively collected data of the German Pelvic Injury Registry from patients aged over 65 years with a pelvic ring fracture were evaluated retrospectively. Read More

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http://dx.doi.org/10.1007/s00264-019-04326-wDOI Listing
April 2019
1 Read

Development of Clinical Tracheostomy Score to Identify Cervical Spinal Cord Injury Patients Requiring Prolonged Ventilator Support.

J Trauma Acute Care Surg 2019 Apr 1. Epub 2019 Apr 1.

Hahnemann University Hospital, Philadelphia, PA 19102.

Objectives: Cervical spinal cord injuries (CSCI) often necessitate ventilator support (VS). Prolonged endotracheal tube use has conveyed substantial morbidity in prospective study. Tracheostomy is recommended if VS is anticipated to be ≥7 days, which defines prolonged ventilation (PV). Read More

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http://dx.doi.org/10.1097/TA.0000000000002286DOI Listing
April 2019
3 Reads
1.970 Impact Factor

Modified less invasive anterior subcutaneous fixator for unstable Tile-C-pelvic ring fractures: a biomechanical study.

Biomed Eng Online 2019 Mar 29;18(1):38. Epub 2019 Mar 29.

Department of General Trauma & Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany.

Background: Operative procedures for unstable pelvic ring fractures remain controversially discussed. Minimally invasive treatment options for pelvic ring fractures have several benefits for the patient. But they can also provide disadvantages. Read More

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http://dx.doi.org/10.1186/s12938-019-0648-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441140PMC
March 2019
1 Read

C1-C2 Motion During C-MAC D-Blade Videolaryngoscopy and Endotracheal Intubation in 2 Patients With Type II Odontoid Fractures: A Case Report.

A A Pract 2019 Mar 20. Epub 2019 Mar 20.

Department of Mechanical Engineering, School of Biomedical Engineering, Orthopaedic Bioengineering Research Laboratory, Colorado State University, Fort Collins, Colorado.

Laryngoscopy and endotracheal intubation in patients with unstable cervical spines may cause pathological spinal motion and resultant cord injury. Cadaver and mathematical (finite element) models of a type II odontoid fracture predict C1-C2 motions during intubation to be of low magnitude, especially with the use of a low-force videolaryngoscope. Using continuous fluoroscopy, we recorded C1-C2 motion during C-MAC D videolaryngoscopy and intubation in 2 patients with type II odontoid fractures. Read More

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http://Insights.ovid.com/crossref?an=02054229-900000000-9967
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http://dx.doi.org/10.1213/XAA.0000000000001000DOI Listing
March 2019
4 Reads

Outcome following olecranon osteotomy versus paratricipital approach for complex intra-articular (AO 13-C) fracture of distal humerus: a prospective comparative study.

J Shoulder Elbow Surg 2019 Apr;28(4):742-750

Department of Orthopaedics, GSVM Medical College, Kanpur, Uttar Pradesh, India.

Background: The paratricipital approach is a relatively new approach in a complex intra-articular fracture of distal humerus (AO13-C). The aim of this study was to ascertain this approach compared with the olecranon osteotomy approach. Also, we aimed to investigate whether advancing age and surgical delay yield a poor outcome. Read More

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http://dx.doi.org/10.1016/j.jse.2019.01.002DOI Listing
April 2019
2.289 Impact Factor

Fusion rates for odontoid fractures after treatment by anterior odontoid screw versus posterior C1-C2 arthrodesis: a meta-analysis.

Arch Orthop Trauma Surg 2019 Mar 15. Epub 2019 Mar 15.

Orthopedics Department, Tian Jin 4th Center Hospital, Tianjin, 300000, China.

Objective: For odontoid fractures, surgical treatment approaches including anterior odontoid screw fixation approach and the posterior C1-C2 arthrodesis approach are generally adopted in practice. However, the choice of different surgical procedures remains controversial. In addition to surgical technique, the fusion rate is an important factor contributing to the clinical efficacy. Read More

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http://dx.doi.org/10.1007/s00402-019-03164-0DOI Listing

Long-term outcome after surgical treatment of intra-articular tibial plateau fractures in skiers.

Arch Orthop Trauma Surg 2019 Mar 12. Epub 2019 Mar 12.

Department of Trauma Surgery, Davos Hospital, Davos, Switzerland.

Introduction: Tibial plateau fractures occur frequently during downhill skiing. There is a lack of information about the outcome and development of posttraumatic osteoarthritis after internal fixation of such fractures at long-term follow-up in skiers.

Materials And Methods: A population of 83 skiers was followed up in a case series after internal fixation of intra-articular tibial plateau fractures AO-OTA 41 B1-B3 and C1-C3. Read More

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http://dx.doi.org/10.1007/s00402-019-03150-6DOI Listing
March 2019
1 Read

Cervical nodal metastasis after malignant conversion of sinonasal inverted papilloma: Report of a rare case and literature review.

Oral Oncol 2019 Mar 1;90:45-47. Epub 2019 Feb 1.

Augusta University, Department of Otolaryngology-Head and Neck Surgery, Augusta, GA 30912, United States.

Malignant conversion of sinonasal inverted papilloma (SNIP) occurs in approximately ten percent of cases. These tumors are classically described as locally destructive, but without metastatic potential. Only four cases of malignant conversion with cervical nodal metastases have been described in the English literature. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2019.01.024DOI Listing
March 2019
1 Read

C1-C2 fractures in asymptomatic elderly patients with minor head trauma: evaluation with a dedicated head CT protocol.

Radiol Bras 2019 Jan-Feb;52(1):17-23

Neuroradiology Unit, Radiology Department, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, San Carlo Borromeo Hospital, Milano, Italy.

Objective: To evaluate the frequency and types of upper cervical spine injuries in asymptomatic elderly patients undergoing computed tomography (CT) for the investigation of minor head trauma.

Materials And Methods: This was a prospective study of 2613 asymptomatic elderly patients with minor head trauma seen between January 2015 and December 2016. We adopted a dedicated head CT protocol that included the C1-C2 region. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/0100-3984.2017.0154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383526PMC
February 2019
6 Reads

Minimally invasive spinopelvic "crab-shaped fixation" for unstable pelvic ring fractures: technical note and 16 case series.

J Orthop Surg Res 2019 Feb 15;14(1):51. Epub 2019 Feb 15.

Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan.

Background: Unstable sacral fractures are high-energy injuries and comprise polytrauma. Internal fixation to enable withstanding vertical loads is required to get up early from the bed after an unstable sacral fracture. We developed a new minimally invasive surgical (MIS) procedure for unstable pelvic ring fractures and reported it in Japanese in 2010. Read More

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http://dx.doi.org/10.1186/s13018-019-1093-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376779PMC
February 2019
1 Read

The Y-shaped trabecular bone structure in the odontoid process of the axis: a CT scan study in 54 healthy subjects and biomechanical considerations.

J Neurosurg Spine 2019 Feb 1:1-8. Epub 2019 Feb 1.

4Professional Dental Studio A.P., Prato, Italy.

OBJECTIVEOdontoid process fractures are very common in both young and geriatric patients. The axial trabecular architecture of the dens appears to be crucial for physiological and biomechanical function of the C1-2 joint. The aim of this study is to demonstrate the presence of a Y-shaped trabecular structure of the dens on axial CT and to describe its anatomical and biomechanical implications. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18396DOI Listing
February 2019
1 Read

Comparison of radiological and clinical outcomes after surgical reduction with fixation or halo-vest immobilization for treating unstable atlas fractures.

Acta Neurochir (Wien) 2019 Apr 2;161(4):685-693. Epub 2019 Feb 2.

Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Dongil-ro 1342, Nowon-gu, Seoul, 01757, South Korea.

Background: Unstable atlas fractures with concomitant transverse atlantal ligament (TAL) injury may be conservatively managed by halo-vest immobilization (HVI) or surgically treated by various fixation techniques. Many surgeons prefer surgical management due to complications, nonunion, and further dislocations with HVI. There are no comparative studies on surgical and nonsurgical management of unstable atlas fractures. Read More

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http://dx.doi.org/10.1007/s00701-019-03824-5DOI Listing

Unstable Pelvic Ring Injuries: How Soon Can Patients Safely Bear Weight?

J Orthop Trauma 2019 Feb;33(2):71-77

Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT.

Objective: To determine if time to weight bearing (WB) is associated with complications in operatively treated pelvic ring injuries.

Design: Retrospective cohort study.

Setting: Academic Level I trauma hospital. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001356DOI Listing
February 2019
1 Read

Functional Outcome of Elderly Patients Treated for Odontoid Fracture: A Multicenter Study.

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Neurosurgery Division, "M. Bufalini" Hospital, Cesena, Italy.

MINI: Functional outcome of elderly patients treated for odontoid fracture is strictly related to their pre-injury level of function and comorbidity. Compared with conservative external immobilizations, surgery revealed no advantages in the elderly in terms of functional outcome.

Study Design: Retrospective multicenter study. Read More

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http://Insights.ovid.com/crossref?an=00007632-900000000-9474
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http://dx.doi.org/10.1097/BRS.0000000000002982DOI Listing
January 2019
17 Reads

Variations in treatment of C1 fractures by time, age, and geographic region in the United States: An analysis of 985 patients.

Orthop Rev (Pavia) 2018 Dec 6;10(4):7834. Epub 2018 Dec 6.

Department of Orthopedic Surgery, Emory University School of Medicine, Atlanta, GA.

The purpose of this investigation was to evaluate the variations in the treatment of C1 fractures over time, by age group, and by geographic region using a nationwide database. The Nationwide Emergency Department Sample (NEDS) database was queried to identify patients ≥18 years who sustained C1 fracture from 2006-2012. Patients were filtered based on the intervention they received: collar, halo, or surgery. Read More

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http://dx.doi.org/10.4081/or.2018.7834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6315308PMC
December 2018
1 Read

Effect of the lipoxygenase inhibitor baicalein on bone tissue and bone healing in ovariectomized rats.

Nutr Metab (Lond) 2019 11;16. Epub 2019 Jan 11.

1Department of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Goettingen, 37075 Goettingen, Germany.

Background: Osteoporosis is one of the world's major medical burdens in the twenty-first century. Pharmaceutical intervention currently focusses on decelerating bone loss, but phytochemicals such as baicalein, which is a lipoxygenase inhibitor, may rescue bone loss. Studies evaluating the effect of baicalein in vivo are rare. Read More

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http://dx.doi.org/10.1186/s12986-018-0327-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329162PMC
January 2019
6 Reads

A simple technique for easier anterior odontoid screw fixation.

Br J Neurosurg 2019 Jan 14:1-5. Epub 2019 Jan 14.

b Orthopaedic department , Faculty of medicine, Cairo University , Giza , Egypt.

Background: Anterior odontoid screw fixation (AOSF) is an osteosynthetic technique used for fixation of type 2 and rostral type 3 odontoid fractures. Compared to other treatment modalities, it provides immediate stability, preservation of the majority of the remaining C1-2 motion and an achieved union rate of 80-100%. AOSF requires a stable and reduced odontoid to allow for placement of guide wire and cannulated screw. Read More

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http://dx.doi.org/10.1080/02688697.2018.1550191DOI Listing
January 2019
1 Read
0.947 Impact Factor

Occipitocervical Dislocation in Low-Energy Trauma.

Case Rep Orthop 2018 29;2018:3931525. Epub 2018 Nov 29.

Department of Orthopaedics & Sport Medicine, Harborview Medical Center, 325 Ninth Avenue Seattle, WA 98104, USA.

Traumatic occipitocervical dislocation (OCD) is described in the literature as a potentially fatal injury secondary to high-energy trauma. We describe a case of OCD occurring in a patient who sustained a ground-level fall whose only clinical symptom was posterior neck pain without neurologic compromise. Computed tomography (CT) and magnetic resonance imaging (MRI) were used to diagnose severe injury to the structurally important ligamentous complex that stabilizes the base of the skull to the spine, along with unstable fractures of the occipital condyle and C1. Read More

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https://www.hindawi.com/journals/crior/2018/3931525/
Publisher Site
http://dx.doi.org/10.1155/2018/3931525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304856PMC
November 2018
6 Reads

Learning Curve in Surgical Treatment of Odontoid Fixation for a Series of Type II C2 Fractures.

Acta Neurochir Suppl 2019;125:325-327

Neurosurgical Clinic, AOUP "Paolo Giaccone", PostGraduate Residency Program in Neurologic Surgery, Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, University of Palermo, Palermo, Italy.

The craniovertebral junction (CVJ) is a complex anatomical area upon which most of the motion of the upper cervical spine depends [1]. Because of its unique range of motion, the CVJ is subject to several types of traumatic injury; it has been shown that odontoid fractures are the most common ones in the general population and are the most common isolated spinal fractures [2]. Accounting for up to 18% of all cervical fractures, odontoid fractures are the most common ones in elderly patients [3], in whom they account for up to 60% of spinal cord injuries [4]. Read More

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http://dx.doi.org/10.1007/978-3-319-62515-7_47DOI Listing
January 2019
2 Reads

Type II Odontoid Fracture: a case series highlighting the treatment strategies.

Acta Neurochir Suppl 2019;125:317-324

Neurosurgical Clinic, AOUP "Paolo Giaccone", PostGraduate Residency Program in Neurologic Surgery, Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, University of Palermo, Palermo, Italy.

Background: A type II odontoid fracture, if unstable, can cause spinal cord damage. In this case, it is essential to choose the correct treatment-but the issues of what the correct treatment is and which of the different surgical options is best are quite controversial. In this paper we present strategies for treatment of type II odontoid fracture. Read More

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http://dx.doi.org/10.1007/978-3-319-62515-7_46DOI Listing
January 2019
1 Read

Odontoid fracture with missed diagnosis of Transverse Atlantal Ligament (TAL) injury resulting in late-onset instability.

Surg Neurol Int 2018 28;9:240. Epub 2018 Nov 28.

Department of Ortho-Spine Surgery, Sir Ganga Ram Hospital, New Delhi, India.

Background: Concurrent injuries to both the odontoid and transverse atlantal ligament are rare and can be easily missed. Failure to diagnose both lesions potentially leads to the late onset of sagittal plane instability and acute myelopathy. Here, we present a patient with an odontoid fracture whose transverse atlantal ligament (TAL) injury was originally missed on magnetic resonance imaging (MRI) and computed tomography (CT) scans. Read More

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http://dx.doi.org/10.4103/sni.sni_315_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287336PMC
November 2018
3 Reads

Minimally invasive internal fixator for unstable pelvic ring injuries with a pedicle screw-rod system: a retrospective study of 23 patients after 13.5 months.

Arch Orthop Trauma Surg 2019 Apr 8;139(4):489-496. Epub 2018 Dec 8.

Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, University of Munich (LMU), Munich, Germany.

Purpose: Pelvic ring fractures are challenging injuries and require effective treatment due to the frequently compromised patient condition. The aim of this study was to evaluate the outcome of unstable pelvic ring injuries treated with a minimally invasive pedicle screw-rod system.

Methods: Retrospective analysis was performed for patients with an unstable pelvic ring injury that were treated with a minimally invasive anterior internal pelvic fixator (INFIX) with or without a posterior pedicle screw-rod fixator (6/2012-4/2015). Read More

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http://dx.doi.org/10.1007/s00402-018-3094-7DOI Listing
April 2019
5 Reads

The Most Influential Publications in Odontoid Fracture Management.

World Neurosurg 2019 Mar 5;123:41-48. Epub 2018 Dec 5.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.

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. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.205DOI Listing
March 2019
3 Reads

Posterior temporary C1-2 fixation for 3-part fractures of the axis (odontoid dens and Hangman fractures).

Medicine (Baltimore) 2018 Nov;97(48):e12957

Spine Center, Qilu Hospital of Shandong University.

Case series study.To report the clinical outcomes of posterior temporary C1-2 fixation for 3-part fracture of the axis (Type II odontoid fracture according to Grauer classification combined with Hangman fracture).The 3-part fracture of the axis is rare and the treatment is controversy. Read More

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http://dx.doi.org/10.1097/MD.0000000000012957DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283111PMC
November 2018
1 Read

Irreducible Posterior C1-2 Dislocation with Retrolisthesis of Dens: Hindsight from 10 Cases.

World Neurosurg 2019 Mar 23;123:e202-e210. Epub 2018 Nov 23.

Department of Neurosurgery, PGIMER, Chandigarh, India. Electronic address:

Objective: Posterior C1-2 dislocation secondary to fracture of the dens or os odontoideum is uncommon. Little is known about posterior dislocations in which close reduction fails, requiring intraoperative maneuvers. The objective of this retrospective study was to analyze clinical presentations, factors causing irreducibility, and nuances in the achievement of intraoperative reduction. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.124DOI Listing
March 2019
1 Read

An unusual cause of recurrent laryngospasm: A case report.

Afr J Emerg Med 2018 Mar 21;8(1):34-36. Epub 2017 Sep 21.

Emergency Department, Centre Hospitalier Universitaire de Kigali, University of Rwanda, Rwanda.

Introduction: Laryngospasm is a partial or complete closure of the vocal cords, causing stridor and then complete airway obstruction. We present an unusual case of recurrent laryngospasm following cervical spine trauma.

Case Report: A 41-year-old pedestrian was hit by a car sustaining several spine fractures including a comminuted fracture of C1. Read More

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http://dx.doi.org/10.1016/j.afjem.2017.08.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223599PMC

Clinical and radiological short-term outcomes of pubic symphysis diastasis treated with modified pedicle screw-rod fixation.

Eur J Trauma Emerg Surg 2018 Nov 15. Epub 2018 Nov 15.

Department of Orthopedics Trauma, Trauma Center, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, 650 Xin Songjiang Road, Shanghai, 201620, People's Republic of China.

Purpose: Pubic symphysis diastasis with an incidence of approximately 20% in pelvic fractures is a severe lesion which needs to be treated properly. The objective of this retrospective study was to describe and evaluate the clinical and radiological outcomes including its advantages and limitations of this modified minimal invasive technique.

Methods: Totally 29 patients with pubic symphysis diastasis, with or without posterior ring instability, were treated by modified pedicle screw-rod fixation (modified PSRF) between January 2010 and December 2016. Read More

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http://link.springer.com/10.1007/s00068-018-1050-4
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http://dx.doi.org/10.1007/s00068-018-1050-4DOI Listing
November 2018
17 Reads

Management of occipitocervical junction and upper cervical trauma.

J Craniovertebr Junction Spine 2018 Jul-Sep;9(3):148-155

Department of Neurological Surgery, University of Wisconsin, Madison, WI, USA.

Objective: The treatment modality of occipitocervical junction (OCJ) and upper cervical traumas carries great importance because of unique form of bone, complex ligamentous, and neurovascular structure.

Materials And Methods: Eighty-eight patients were admitted to Mersin University Department of Neurosurgery between January 2007 and January 2017 for injuries of the OCJ and upper cervical spine and evaluated retrospectively. In the group, there were 60 male, 28 female patients in the mean age of 42. Read More

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http://www.jcvjs.com/text.asp?2018/9/3/148/242822
Publisher Site
http://dx.doi.org/10.4103/jcvjs.JCVJS_72_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6187903PMC
November 2018
18 Reads

[Robot assisted sacroiliac screw placement with a modified method of screw path planning].

Zhonghua Yi Xue Za Zhi 2018 Nov;98(41):3309-3314

Department of Orthopedics, Yantai Shan Hospital, Yantai 264008, China.

To introduce a robot-assisted modified method of sacroiliac screw path planning in order to reduce the incidence of screw misplacement. The study involved 13 patients suffering from posterior pelvic injuries treated by percutaneous sacroiliac screw in Yantai Shan Hospital from August 2016 to May 2018. The patients included 9 males and 4 females, aged from 18 to 70 years (mean age 46. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.41.003DOI Listing
November 2018
11 Reads

Percutaneous K-wires vs palmar locking plate fixation for different types of distal radial fractures: a comparison of the outcomes of two methods to controll our guidelines.

Handchir Mikrochir Plast Chir 2018 Sep 7;50(5):319-325. Epub 2018 Nov 7.

Pomeranian Medical University in Szczecin Department of General and Hand Surgery.

The objective of the study was a comparison of the outcomes of K-wire vs plate fixation for distal radial fractures used according to the proposed institutional algorithm. Fracture configurations A2, A3, B1, B2, C1 and some C2 were operated on with K-wire pinning, whereas B3 and some B2, C3 and some C2 were with locking palmar-plate fixation.

Patients And Methods: Four hundred and sixty-seven patients were non-randomly allocated for either K-wire (n = 363) or palmarplate (n = 104) fixation. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0751-2886
Publisher Site
http://dx.doi.org/10.1055/a-0751-2886DOI Listing
September 2018
12 Reads

Posterior open reduction and internal fixation of C1 fractures: the C-clamp technique.

Acta Neurochir (Wien) 2018 Dec 5;160(12):2451-2457. Epub 2018 Nov 5.

Department of Neurosurgery, Stanford Hospital and Clinics, Stanford University, 300 Pasteur Drive, Edwards Bldg., R-201, Stanford, CA, 94305, USA.

Background: The treatment of isolated atlas (C1) fractures is still controversial. The surgical management usually involves an arthrodesis of the atlanto-axial (C1-C2) joint with or without occipital fixation. We reviewed the senior author's series of posterior only open reduction and internal fixation (ORIF) of isolated C1 fractures. Read More

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http://link.springer.com/10.1007/s00701-018-3710-x
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http://dx.doi.org/10.1007/s00701-018-3710-xDOI Listing
December 2018
9 Reads

Intramedullary Fixation of Distal Radius Fractures Using CAGE-DR Implant.

J Wrist Surg 2018 Nov 18;7(5):358-365. Epub 2018 Sep 18.

Division of Hand and Upper Extremity Surgery, Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York.

 CAGE-DR implant is a novel Food and Drug Administration approved intramedullary fracture fixation device used for distal radius fractures. We examine a series of 22 patients and report the outcomes with this device.  A total of 24 patients with distal radius fractures (8 articular AO type C1/C2; 16 extra-articular AO type A2/A3) underwent open reduction and internal fixation (ORIF) using CAGE-DR implant by a single surgeon. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1669438
Publisher Site
http://dx.doi.org/10.1055/s-0038-1669438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196090PMC
November 2018
33 Reads

The Relationship between the Occipitocervical Junction and Thoracic Kyphosis in Ankylosing Spondylitis: A Retrospective Cohort Study of 86 Cervical Fractures in Surgically Treated Patients.

Asian Spine J 2019 Feb 18;13(1):103-110. Epub 2018 Oct 18.

Department of Surgical Science, Uppsala University Hospital, Uppsala, Sweden.

Study Design: Retrospective analysis of prospectively collected data.

Purpose: To describe the radiological characteristics of the occipitocervical area in patients with ankylosing spondylitis (AS) using the novel measure X-angle and to describe the correlation between the ankylosed occipitoatlantoaxial (OAA) joint and thoracic kyphosis (TK).

Overview Of Literature: AS affects the axial skeleton, leading to progressive ankylosis of all vertebral segments. Read More

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http://dx.doi.org/10.31616/asj.2018.0010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365776PMC
February 2019
4 Reads

Continuous Near-Infrared Spectroscopy Demonstrates Limitations in Monitoring the Development of Acute Compartment Syndrome in Patients with Leg Injuries.

J Bone Joint Surg Am 2018 Oct;100(19):1645-1652

Departments of Health Policy and Management (K.P.F. and E.M.) and Biostatistics (J.D. and V.Z.), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Background: We recorded measurements of muscle perfusion using near-infrared spectroscopy (NIRS) and intramuscular pressure (IMP) in a study designed to develop a decision rule for predicting acute compartment syndrome (ACS). The purpose of this study was to report our experience measuring NIRS data in the context of this broader investigation and to explore factors related to variations in data capture.

Methods: One hundred and eighty-five patients with lower-leg injuries had data consisting of continuous NIRS measurement of the O2 saturation in the anterior compartment of the injured limb and the contralateral (control) limb, and continuous IMP recording in the anterior and deep posterior compartments of the injured leg as part of their participation in an institutional review board-approved multicenter trial. Read More

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http://dx.doi.org/10.2106/JBJS.17.01495DOI Listing
October 2018
8 Reads

Outcomes of distal femur fractures treated with the Synthes 4.5 mm VA-LCP Curved Condylar Plate.

Int Orthop 2018 Sep 29. Epub 2018 Sep 29.

Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, MC-7774, San Antonio, TX, 78229, USA.

Purpose: Given the recent controversy in the literature and the alarming reports of early mechanical failure associated with the use of the Synthes 4.5 mm VA-LCP Curved Condylar Plate in acute distal femur fractures, the goal of our study was to examine the outcomes and mechanical failure rates of this implant in a larger patient population.

Methods: Patients 18 years of age and older who underwent plate fixation of their acute distal femoral fracture using the Synthes 4. Read More

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http://link.springer.com/10.1007/s00264-018-4177-3
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http://dx.doi.org/10.1007/s00264-018-4177-3DOI Listing
September 2018
14 Reads

Treatment of the dens fractures in children.

Neurol Neurochir Pol 2018 Sep - Oct;52(5):618-622. Epub 2018 Sep 1.

Department of Paediatric Traumatology and Orthopedy, Silesian Medical University in Katowice, ul. Medyków 16, 40-752 Katowice, Poland; Department of Paediatric Surgery and Urology, Silesian Medical University in Katowice, ul. Medyków 16, 40-752 Katowice, Poland. Electronic address:

The anatomical and biomechanical features of the immature cervical spine make the upper segments at C1-3 especially susceptible to injury.

Material And Method: From 2000 to 2016, 10 patients (3 boys, 7 girls) with C2 dens fractures were treated. The average age of each child was 11 years (3-17). Read More

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http://dx.doi.org/10.1016/j.pjnns.2018.08.007DOI Listing
September 2018
2 Reads

"Rule of Spence" and Dickman's Classification of Transverse Atlantal Ligament Injury Revisited: Discrepancy of Prediction on Atlantoaxial Stability Based on Clinical Outcome of Nonoperative Treatment for Atlas Fractures.

Spine (Phila Pa 1976) 2019 Mar;44(5):E306-E314

Department of Spine Surgery, Center for Orthopedics, Daping Hospital, Army Medical University.

Detailed clinical information of 13 adult patients with acute atlantal fractures underwent nonoperative treatment was retrospectively studied. "Rule of Spence" was found inaccurate in predicting either integrity of transverse atlantal ligament (TAL) or atlantoaxial stability, whereas Dickman's classification of TAL injury was more superior to "rule of Spence" on both prediction.

Study Design: A retrospective study. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002877DOI Listing
March 2019
11 Reads

[The treatment of Tillaux bone block in the Ruedi-Allgower type Pilon fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1308-1312

Department of Orthopaedical Oncology, Tianjin Hospital, Tianjin, 300210, P.R.China.

Objective: To analyze the importance and effectiveness of Tillaux bone block in Ruedi-Allgower type Ⅲ of Pilon fracture surgery.

Method: Twenty-one patients with Pilon fractures with Tillaux dislocation were treated between February 2010 and September 2013. There were 17 males and 4 females, aged from 28 to 68 years with an average age of 42. Read More

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http://dx.doi.org/10.7507/1002-1892.201710068DOI Listing
October 2018
53 Reads

Treatment of Atlas Fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).

Global Spine J 2018 Sep 7;8(2 Suppl):5S-11S. Epub 2018 Sep 7.

Schön Kliniken Nürnberg/Fürth, Fürth, Germany.

Study Design: Narrative review and expert recommendation.

Objectives: To establish treatment recommendations for atlas fractures based on the knowledge of the experts of the Spine Section of the German Society for Orthopaedics and Trauma.

Methods: Neither high-level evidence studies comparing conservative and operative management nor studies matching different operative treatment strategies exist. Read More

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http://dx.doi.org/10.1177/2192568217726304DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130103PMC
September 2018
7 Reads

Treatment of Odontoid Fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).

Global Spine J 2018 Sep 7;8(2 Suppl):12S-17S. Epub 2018 Sep 7.

Schön Klinik Nürnberg Fürth, Fürth, Germany.

Study Design: Narrative review.

Objective: To establish recommendations for the treatment of odontoid fractures based on current literature and the knowledge of the experts of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).

Methods: Narrative review of the literature. Read More

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http://dx.doi.org/10.1177/2192568218768227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130105PMC
September 2018
5 Reads

Finite Element Analysis of Long Posterior Transpedicular Instrumentation for Cervicothoracic Fractures Related to Ankylosing Spondylitis.

Global Spine J 2018 Sep 30;8(6):570-578. Epub 2018 Jan 30.

KTH Royal Institute of Technology, Stockholm, Sweden.

Study Design: Biomechanical finite element model analysis.

Objectives: Spinal fractures related to ankylosing spondylitis (AS) are often treated by long posterior stabilization. The objective of this study is to develop a finite element model (FEM) for spinal fractures related to AS and to establish a biomechanical foundation for long posterior stabilization of cervicothoracic fractures related to AS. Read More

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http://dx.doi.org/10.1177/2192568217745068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125933PMC
September 2018
26 Reads

C1 fracture: Analysis of consolidation and complications rates in a prospective multicenter series.

Orthop Traumatol Surg Res 2018 Nov 9;104(7):1049-1054. Epub 2018 Oct 9.

Service de neurochirurgie C et chirurgie du Rachis, université Claude-Bernard Lyon 1, hôpital P. Wertheimer, 59, boulevard Pinel, 69003 Lyon, France.

Introduction: Three types of C1 fracture have been described, according to location: type 1 (anterior or posterior arc), type 2 (Jefferson: anterior and posterior arc), and type 3 (lateral mass). Stability depends on transverse ligament integrity. The main aim of the present study was to analyze complications and consolidation rates according to fracture type, age and treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183024
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http://dx.doi.org/10.1016/j.otsr.2018.06.014DOI Listing
November 2018
28 Reads

Treatment of pediatric multilevel cervical spine fractures in resource-limited settings: a case report.

Childs Nerv Syst 2019 Jan 5;35(1):195-197. Epub 2018 Sep 5.

PLA National Defence University, Beijing, China.

Aim Of The Study: The main purpose of this study was to highlight the therapeutic approach of pediatric multilevel noncontiguous cervical spine fractures in resource-limited settings.

Case Presentation: We report the case of a 15-year-old teenager with C1, C2, C4, C6, and C7 fractures following fall from height treated with a modified external fixator. At final follow-up, he fully recovered neurologic functions with bone healing. Read More

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http://link.springer.com/10.1007/s00381-018-3966-8
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http://dx.doi.org/10.1007/s00381-018-3966-8DOI Listing
January 2019
25 Reads

Standard navigation versus intraoperative computed tomography navigation in upper cervical spine trauma.

Int J Comput Assist Radiol Surg 2019 Jan 31;14(1):169-182. Epub 2018 Aug 31.

Department of Neurosurgery, University of Marburg, Baldingerstrasse, 35043, Marburg, Germany.

Purpose: In surgery of C1-C2 fractures, standard navigation for screw placement based on preoperative image data was compared with intraoperative imaging guidance applying intraoperative computed tomography (iCT) with a special focus on accuracy of screw placement, workflow, and radiation exposure.

Methods: A single surgeon series of 16 consecutive patients with C1-C2 trauma was retrospectively analyzed. Seven patients were operated with standard navigation; preoperative image data were registered by a 20-point surface-matching process for each vertebra. Read More

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http://link.springer.com/10.1007/s11548-018-1853-0
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http://dx.doi.org/10.1007/s11548-018-1853-0DOI Listing
January 2019
25 Reads

Surgical vs. non-surgical management of displaced type-2 odontoid fractures in patients aged 75 years and older: study protocol for a randomised controlled trial.

Trials 2018 Aug 22;19(1):452. Epub 2018 Aug 22.

Department of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.

Background: Displaced odontoid fractures in the elderly are treated non-surgically with a cervical collar or surgically with C1-C2 fusion. Due to the paucity of evidence, the treatment decision is often left to the discretion of the expert surgeon.

Methods: The Uppsala Study on Odontoid Fracture Treatment (USOFT) is a multicentre, open-label, randomised controlled superiority trial evaluating the clinical superiority of the surgical treatment of type-2 odontoid fractures, with a 1-year Neck Disability Index (NDI) as the primary endpoint. Read More

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https://trialsjournal.biomedcentral.com/articles/10.1186/s13
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http://dx.doi.org/10.1186/s13063-018-2690-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6106890PMC
August 2018
23 Reads

Effect of reduction quality on post-operative outcomes in 31-A2 intertrochanteric fractures following intramedullary fixation: a retrospective study based on computerised tomography  findings.

Int Orthop 2018 Aug 16. Epub 2018 Aug 16.

Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Beijing, 100853, China.

Purpose: To determine how the reduction of medial and anteromedial cortices using CT findings in 31-A2 intertrochanteric fractures treated with the intramedullary nail could affect the clinical outcomes and complication rates of the fractures.

Methods: We retrospectively analyzed the data of 43 patients with 31-A2 intertrochanteric fractures who underwent closed reduction and intramedullary internal fixation (CRIF) between January 2010 and December 2013. Patients were classified into two groups based on the post-operative CT scans taken from the sagittal and coronal planes, respectively. Read More

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http://dx.doi.org/10.1007/s00264-018-4098-1DOI Listing
August 2018
18 Reads

Analysis of Cervical Spine Injuries in Elderly Patients from 2001 to 2010 Using a Nationwide Database: Increasing Incidence, Overall Mortality, and Inpatient Hospital Charges.

World Neurosurg 2018 Dec 2;120:e114-e130. Epub 2018 Aug 2.

Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address:

Background: Cervical spine (C-spine) injuries cause significant morbidity and mortality among elderly patients. Although the population of older-adults ≥65 years in the United States is expanding, estimates of the burden and outcome of C-spine injury are lacking.

Methods: The Nationwide Inpatient Sample 2001-2010 was analyzed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183170
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http://dx.doi.org/10.1016/j.wneu.2018.07.228DOI Listing
December 2018
13 Reads