1,149 results match your criteria C1 Fractures


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 2018 Dec 8. 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
December 2018

The Most Influential Publications in Odontoid Fracture Management.

World Neurosurg 2018 Dec 5. Epub 2018 Dec 5.

University of Miami Miller School of Medicine, Department of Neurological Surgery, 1475 NW 12th St, 1st Floor, Miami, FL 33136, 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
December 2018

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
November 2018

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
5 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
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http://dx.doi.org/10.4103/jcvjs.JCVJS_72_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6187903PMC
November 2018
3 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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November 2018
4 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
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http://dx.doi.org/10.1055/a-0751-2886DOI Listing
September 2018
7 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
6 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
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http://dx.doi.org/10.1055/s-0038-1669438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196090PMC
November 2018
19 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 2018 Oct 18. 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
October 2018
3 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
1 Read

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
12 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

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

Spine (Phila Pa 1976) 2018 Sep 14. Epub 2018 Sep 14.

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

Study Design: a retrospective study.

Objective: To evaluate the prediction accuracy of "Rule of Spence" and Dickman's classification of the transverse atlantal ligament (TAL) injury on clinical outcomes (mainly focused on atlantoaxial stability) of atlas fractures treated non-operatively.

Summary Of Background Data: TAL is regarded as primary stabilizer of the atlantoaxial complex. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002877DOI Listing
September 2018
2 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
15 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
4 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
11 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
13 Reads

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

Childs Nerv Syst 2018 Sep 5. 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
September 2018
9 Reads

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

Int J Comput Assist Radiol Surg 2018 Aug 31. 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
August 2018
8 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
15 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
8 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
10 Reads

Blunt vertebral artery injury in occipital condyle fractures.

J Neurosurg Spine 2018 Aug 3:1-6. Epub 2018 Aug 3.

Department of Neurosurgery, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma.

OBJECTIVE A shifting emphasis on efficient utilization of hospital resources has been seen in recent years. However, reduced screening for blunt vertebral artery injury (BVAI) may result in missed diagnoses if risk factors are not fully understood. The authors examined the records of blunt trauma patients with fractures near the craniocervical junction who underwent CTA at a single institution to better understand the risk of BVAI imposed by occipital condyle fractures (OCFs). Read More

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http://thejns.org/doi/10.3171/2018.3.SPINE161177
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http://dx.doi.org/10.3171/2018.3.SPINE161177DOI Listing
August 2018
8 Reads

C1-C2 Fusion Versus Occipito-Cervical Fusion for High Cervical Fractures: A Multi-Institutional Database Analysis and Review of the Literature.

World Neurosurg 2018 Nov 30;119:e459-e466. Epub 2018 Jul 30.

Department of Neurosurgery, University of Illinois at Chicago, Chicago, Illinois, USA. Electronic address:

Objective: Type II odontoid fractures of the axis (C2) account for more than 20% of all cervical fractures. If an odontoid screw is contraindicated, the treatment approach for type II C2 fractures typically involves C1-C2 posterior fusion or occipito-cervical (O-C) fusion, each of which has distinct advantages and disadvantages. In this study, postoperative outcomes of C1-C2 fusion and O-C fusion for high cervical fractures were compared. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.07.182DOI Listing
November 2018
8 Reads
2.420 Impact Factor

Odontoid fractures in combination with C1 fractures in the elderly treated by combined anterior odontoid and transarticular C1/2 screw fixation.

Arch Orthop Trauma Surg 2018 Nov 28;138(11):1525-1531. Epub 2018 Jul 28.

Department of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.

Introduction: The purpose of this study was to evaluate risk factors of accompanied C1 fractures in elderly patients with type II odontoid fractures (OF) and to analyze the complication rate and the outcomes of patients after combined anterior odontoid and transarticular C1/2 screw fixation (AOTAF).

Materials And Methods: The study represents a retrospective case series at a single level-1 trauma center. All elderly patients (≥ 70 years) with acute combination injuries (CI) including type II OF with an accompanied C1 fracture, who were treated by an anterior approach, were included. Read More

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http://dx.doi.org/10.1007/s00402-018-3013-yDOI Listing
November 2018
7 Reads

Cervical spine fractures associated with maxillofacial trauma: A 3-year-long study in the Greek population.

J Craniomaxillofac Surg 2018 Oct 11;46(10):1712-1718. Epub 2018 Jul 11.

Department of Oral and Maxillofacial Surgery, (Head: Dr George Rallis), "KAT" General Hospital of Attica, Athens, Greece.

Background: Maxillofacial fractures have been recognized as high risk trauma for concomitant cervical spine or spinal cord injury.

Objective: To investigate the incidence of concomitant cervical spine fractures (CSF) in patients with maxillofacial trauma and elucidate their relationship, guiding diagnosis and pointing their implications in maxillofacial trauma repair.

Material And Methods: An analysis of 432 patients with maxillofacial fractures, treated at the Department of Oral and Maxillofacial Surgery of the "KAT" General Hospital of Attica during a three-year-long period, was conducted to investigate concomitant CSF. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10105182183019
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http://dx.doi.org/10.1016/j.jcms.2018.07.003DOI Listing
October 2018
9 Reads

A Biomechanical Study of an Alternative Internal Fixation Method for Transverse Patella Fractures.

Orthopedics 2018 Sep 16;41(5):e643-e648. Epub 2018 Jul 16.

Pain and reoperation after fixation using tension band wiring and K-wires is not uncommon. A novel hook plate was designed to improve the treatment of patella fractures. The aim of this study was to compare the stability of the hook plate with that of tension band wiring and K-wires in a simulated patellar transverse fracture model (AO/OTA classification 34-C1. Read More

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https://www.healio.com/doiresolver?doi=10.3928/01477447-2018
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http://dx.doi.org/10.3928/01477447-20180711-04DOI Listing
September 2018
8 Reads

Incidence of four major types of osteoporotic fragility fractures among elderly individuals in Sado, Japan, in 2015.

J Bone Miner Metab 2018 Jun 28. Epub 2018 Jun 28.

Department of Physical Therapy, Faculty of Medical Technology, Niigata University of Health and Welfare, Niigata, Japan.

The aim of this study was to survey the incidence of osteoporotic fragility fractures, which include vertebral, hip, distal radius, and proximal humerus fractures, in patients ≥ 50 years of age, from 2004 to 2015, in Sado City, Japan. We examined temporal changes in the incidence of these fractures from 2010 through 2015. The incidence of vertebral (p < 0. Read More

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http://link.springer.com/10.1007/s00774-018-0937-9
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http://dx.doi.org/10.1007/s00774-018-0937-9DOI Listing
June 2018
10 Reads

Distal radius fractures are difficult to classify.

Injury 2018 Jun;49 Suppl 1:S29-S32

Department of Orthopaedics, Regionshospitalet Randers, Randers, Denmark. Electronic address:

Background: Traditionally, distal radius fractures (DRFs) have been described using eponyms, e.g. Colles, Smith, Barton, Chauffeur. Read More

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http://dx.doi.org/10.1016/S0020-1383(18)30299-7DOI Listing
June 2018
6 Reads

A Locked Intraosseous Nail for Transverse Patellar Fractures: A Biomechanical Comparison with Tension Band Wiring Through Cannulated Screws.

J Bone Joint Surg Am 2018 Jun;100(12):e83

Department of Orthopaedics and Traumatology, University Medical Center Mainz, Johannes Gutenberg-University, Mainz, Germany.

Background: Displaced transverse patellar fractures require open reduction and internal fixation. State-of-the-art stabilization techniques are tension band wiring (TBW) using Kirschner wires or cannulated screws. These techniques are associated with high rates of secondary fracture displacement, implant migration, implant prominence, wound-healing disturbances, and the need for implant removal. Read More

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http://dx.doi.org/10.2106/JBJS.17.00272DOI Listing
June 2018
36 Reads

Iliac screw for reconstructing posterior pelvic ring in Tile type C1 pelvic fractures.

Orthop Traumatol Surg Res 2018 Oct 18;104(6):923-928. Epub 2018 Jun 18.

Department of Emergency surgery & Orthopaedic surgery, Qilu Hospital of Shandong University, No. 107, West Wenhua Road, 250012 Jinan, Shandong, PR China.

Background: It is often difficult to achieve stable fixation in Tile type C1 pelvic fractures and there is no standard fixation technique for these types of injuries.

Hypothesis: Iliac screw fixation can be used for treating Type C1 pelvic fractures.

Patients And Methods: A retrospective review was performed on 47 patients who underwent iliac screw fixation in posterior column of ilium (PCI) for Tile type C1 pelvic fractures from July 2007 to December 2014. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183016
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http://dx.doi.org/10.1016/j.otsr.2018.04.021DOI Listing
October 2018
3 Reads

A Modified Posterior C1/C2 Fusion Technique for the Management of Traumatic Odontoid Type II Fractures by Using Intraoperative Spinal Navigation: Midterm Results.

J Orthop Trauma 2018 Sep;32(9):e366-e371

Departments of Neurosurgery, and.

Objectives: To assess midterm safety and efficacy of a modified Goel-Harms technique for the treatment of odontoid instabilities.

Design: Longitudinal prospective cohort study.

Setting: Urban Level 1 Trauma Center in Southwest Germany. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001241DOI Listing
September 2018
8 Reads

New technique for C1-C2 fixation.

Surg Neurol Int 2018 7;9:94. Epub 2018 May 7.

Department of Neurosurgical, Klinikum Dortmund, Dortmund, Germany.

Background: There are several techniques for treating atlantoaxial instability, including the Magerl transarticular screw fixation and the Harms/Goel C1-C2 screw rod techniques. Here, we present a novel technique utilizing a polyaxial screw rod system and a combination of C1 lateral mass and C1-C2 transarticular screws.

Methods: We retrospectively reviewed 14 patients (7 women, 7 men; mean age 62) who underwent surgery for type II odontoid fractures ( = 7), pseudarthrosis after anterior odontoid screw placement ( = 3), Os odontoideum ( = 2), atlantoaxial instability after C3-C5 fusion ( = 1), and craniovertebral rheumatoid arthritis ( = 1). Read More

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http://surgicalneurologyint.com/surgicalint-articles/new-tec
Publisher Site
http://dx.doi.org/10.4103/sni.sni_10_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961278PMC
May 2018
7 Reads

[Surgical techniques and effectiveness of volar locking plates for senile delayed distal radius fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Jul;31(7):785-789

Department of Orthopedics, Sixth Affiliated Hospital of Shanghai Jiao Tong University, Shanghai, 200233,

Objective: To investigate the surgical technique and effectiveness of volar locking plates for senile delayed distal radius fractures.

Methods: Between October 2014 and September 2015, 25 cases of delayed distal radius fractures were treated by volar locking plates. There were 3 males and 22 females with an average age of 73 years (range, 65-87 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201702039
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http://dx.doi.org/10.7507/1002-1892.201702039DOI Listing
July 2017
50 Reads

[Treatment of unstable pelvic fractures by cannulated screw internal fixation with the assistance of three-dimensional printing insertion template].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Feb;32(2):145-151

Department of Orthopedics, the 3rd Hospital of Changsha, Changsha Hunan, 410015, P.R.China.

Objective: To evaluate the effectiveness of unstable pelvic fractures treated by cannulated screw internal fixation with the assistance of three-dimensional (3D) printing insertion template.

Methods: The clinical data of 10 patients who underwent surgical treatment for unstable pelvic fractures by cannulated screw internal fixation with the assistance of 3D printing insertion template between May 2015 and June 2016 were retrospectively analysed. There were 7 males and 3 females with an average age of 37. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201708059
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http://dx.doi.org/10.7507/1002-1892.201708059DOI Listing
February 2018
15 Reads

[Effectiveness of cerclage and a figure-of-eight tension band by a single titanium wire in treatment of patellar fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Jul;31(7):805-809

Department of Orthopaedic Trauma, the First Affiliated Hospital of Fujian Medical University, Trauma Center of Fujian, Fuzhou Fujian, 350004,

Objective: To estimate the outcome of cerclage followed by a figure-of-eight tension band with a single titanium wire for the treatment of patellar fracture.

Methods: A retrospective analysis was made on the clinical data of 46 patients with patellar fractures treated between June 2012 and November 2014. There were 30 males and 16 females, aged 20-86 years (mean, 54 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201702021
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http://dx.doi.org/10.7507/1002-1892.201702021DOI Listing
July 2017
6 Reads

Treatment of displaced transverse fractures of the patella: modified tension band wiring technique with or without augmented circumferential cerclage wire fixation.

BMC Musculoskelet Disord 2018 May 24;19(1):167. Epub 2018 May 24.

Chang Gung University College of Medicine, Taoyuan, Taiwan.

Background: Displaced transverse fractures of the body of the patella are usually associated with disruption of extensor mechanism and should be fixed surgically. The most common method is a tension band wiring (TBW) technique. Some surgeons concurrently employ an augmented circumferential cerclage wiring (ACCW) technique to help fracture stabilization and aid in fracture healing; however, its role and effect on the treatment outcomes is unclear. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
Publisher Site
http://dx.doi.org/10.1186/s12891-018-2092-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968519PMC
May 2018
8 Reads

Clinical application of a minimally invasive cement-augmentable Schanz screw rod system to treat pelvic ring fractures.

Int Orthop 2018 May 21. Epub 2018 May 21.

Klinik für Unfall- und Wiederherstellungschirurgie, Klinikum Bayreuth, Preuschwitzer Str. 101, 95445, Bayreuth, Germany.

Purpose: The purpose of this study is to analyze the results using the USS fracture MIS system (DePuy Synthes) to treat instable pelvic ring fractures. As its outstanding feature, it is the only Schanz screw and rod system at present that combines angular stability, perforation/fenestration of the screws for cement-augmentation, a variable screw length, and a large screw diameter.

Materials And Methods: Retrospective investigation of 134 pelvic ring fractures treated in 2012-2013. Read More

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http://link.springer.com/10.1007/s00264-018-3988-6
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http://dx.doi.org/10.1007/s00264-018-3988-6DOI Listing
May 2018
6 Reads

Proximal Humerus Fracture 3-D Modeling.

Am J Orthop (Belle Mead NJ) 2018 Apr;47(4)

Shoulder and Elbow Surgery, Columbia University Medical Center, New York, NY.

The objective of this study is to determine the reproducibility and feasibility of using 3-dimensional (3-D) computer simulation of proximal humerus fracture computed tomography (CT) scans for fracture reduction. We hypothesized that anatomic reconstruction with 3-D models would be anatomically accurate and reproducible. Preoperative CT scans of 28 patients with 3- and 4-part (AO classification 11-B1, 11-B2, 11-C1, 11-C2) proximal humerus fractures who were treated by hemiarthroplasty were converted into 3-D computer models. Read More

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http://dx.doi.org/10.12788/ajo.2018.0023DOI Listing
April 2018
9 Reads

Optimized Extract from Uyeki (Hamamelidaceae) Flos Inhibits Osteoclast Differentiation.

Evid Based Complement Alternat Med 2018 6;2018:6302748. Epub 2018 Mar 6.

Department of Pharmacy, Sunchon National University, Jeonnam, Suncheon 57922, Republic of Korea.

Osteoporosis is a metabolic disorder that decreases the stability against fractures of the spine, femur, and radius by weakening the strength and integrity of bones. Receptor activator of nuclear factor-kappa B ligand signaling ultimately activated nuclear factor-activated T cells c1, a major transcription factor for osteoclast formation. This study researched the effects of Uyeki flos extracts on the antiosteoclastic potential of macrophages and the phytochemicals contained therein. Read More

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https://www.hindawi.com/journals/ecam/2018/6302748/
Publisher Site
http://dx.doi.org/10.1155/2018/6302748DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859845PMC
March 2018
9 Reads

Assessment of cervical range of motion in patients after axis fracture.

Neurol Neurochir Pol 2018 May - Jun;52(3):334-340. Epub 2017 Dec 6.

Medical Faculty of University of Rzeszów, Poland.

Background: Surgical treatment of odontoid fractures with posterior C1/C2 fusion always leads to severe limitations in mobility of the cervical spine and head.

Purpose: To assess the mobility of the cervical spine in patients treated with various surgical methods after an axis body fracture.

Material And Methods: A group of 61 subjects receiving surgical treatment in a group of 214 subjects treated for odontoid fractures at one ward of neurosurgery at a regional hospital. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00283843173046
Publisher Site
http://dx.doi.org/10.1016/j.pjnns.2017.11.013DOI Listing
December 2017
8 Reads

Traumatic Posterolateral C1-C2 Dislocation Complicated with Locked Lateral Mass and Type II Odontoid Fracture-5-Year Follow-up.

World Neurosurg 2018 Jun 4;114:330-334. Epub 2018 Apr 4.

Department of Spine Surgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. Electronic address:

Objective: We sought to document our experience in managing a rare complex of traumatic posterolateral atlantoaxial dislocation combined with locked lateral mass and type II odontoid fracture.

Method: A 30-year-old male patient was referred to the author's department. He complained of a decrease in neck range of motion following a traffic accident. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183067
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2018.03.191DOI Listing
June 2018
13 Reads

Atlas Fractures: Diagnosis, Current Treatment Recommendations, and Implications for Elderly Patients.

Clin Spine Surg 2018 Aug;31(7):278-284

Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD.

Fractures of the C1 vertebrae (atlas) are commonly the result of falls and other trauma, which cause hyperextension, or axial compression of the cervical spine. Although historically thought as a benign injury with lower neurological risks, current data suggests that this may not hold true for geriatric patients (aged 65 y and older) who may be predisposed to these fractures even after lower-energy trauma such as ground-level falls. Advancements in orthopedic trauma care has increased our diagnostic abilities to identify and manage patients with C1 fractures and other upper cervical spine trauma. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000631DOI Listing
August 2018
12 Reads

Traumatic C1-2 rotatory subluxation with dens and bilateral articular facet fractures of C2: A case report.

Medicine (Baltimore) 2018 Mar;97(13):e0189

Department of Orthopaedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: To the best of our knowledge, this is an extremely rare case of traumatic C1-2 rotatory subluxation associated with multiple C2 fractures.

Patient Concerns: We report the case of a 63-year-old man with type 2 traumatic C1-2 rotatory subluxation (Fielding and Hawkins classification) associated with type III dens (Anderson and D'Alonzo classification) and bilateral articular facet fractures of C2. This injury occurred as a result of falling down in a drunken state. Read More

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http://dx.doi.org/10.1097/MD.0000000000010189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895414PMC
March 2018
12 Reads

Above-versus below-elbow casting for conservative treatment of distal radius fractures: a randomized controlled trial and study protocol.

BMC Musculoskelet Disord 2018 03 27;19(1):92. Epub 2018 Mar 27.

Hand, Arm and Shoulder Surgery Unit, Department of Orthopedics and Traumatology, Universidade Federal de São Paulo, UNIFESP/EPM, Rua Borges Lagoa, 778 Vila Clementino, São Paulo, SP, Brazil.

Background: A variety of cast options are available for the non-surgical treatment of distal radius fractures (DRF) in adults. However, the literature is inconclusive regarding the need to immobilize the elbow joint after reduction in order to prevent rotation of the forearm in order to maintain the reduction of DRF. This study aimed to evaluate the best method of immobilization between above-elbow (AE) and below-elbow (BE) cast groups at the end of six-month follow-up. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
Publisher Site
http://dx.doi.org/10.1186/s12891-018-2007-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870077PMC
March 2018
13 Reads

Anterior management of C2 fractures using miniplate fixation: outcome, function and quality of life in a case series of 15 patients.

Eur Spine J 2018 Jun 23;27(6):1332-1341. Epub 2018 Mar 23.

Department of Orthopaedics, Trauma Surgery, Reconstructive Surgery, Hand Surgery, Plastic Surgery and Burn Medicine, German Armed Forces Central Hospital of Koblenz, Ruebenacher Strasse 170, 56072, Koblenz, Germany.

Purpose: The classification systems by Anderson and D'Alonzo, Effendi, Benzel and others have limitations when it comes to morphologically categorising fractures of the second cervical vertebral body (C2) that present with or without an additional fracture of the dens or with or without an extension of the fracture line into the vertebral arch and displacement. Currently, there are no definitive recommendations for the treatment of fractures at the junction of the dens with the vertebral body of C2 on the basis of outcome and stability data. Depending on patient anatomy, either anterior or posterior approaches can be used to fuse C1 and C2 and to achieve definitive surgical stabilisation. Read More

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http://link.springer.com/10.1007/s00586-018-5556-6
Publisher Site
http://dx.doi.org/10.1007/s00586-018-5556-6DOI Listing
June 2018
12 Reads