8,324 results match your criteria Fracture Cervical Spine


Accessory articulation of the transverse processes in the cervical spine.

Radiol Case Rep 2022 Jul 9;17(7):2432-2436. Epub 2022 May 9.

Mark and Mary Stevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, USA.

Accessory articulation between the transverse processes of the C6 and C7 vertebrae is an extremely rare anatomic variant that has only been previously described in two instances. In this report, we present the case of a 25-year-old male who sustained numerous injuries associated with a physical assault. A CT study of the cervical spine revealed a linear lucency mimicking a fracture but found on closer inspection to represent an accessory articulation between the anterior tubercles of the right transverse processes of the C6 and C7 vertebrae. Read More

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Bicycle-related cervical spine injuries.

N Am Spine Soc J 2022 Jun 30;10:100119. Epub 2022 Apr 30.

Department of Neurosurgery, Oslo University Hospital, Oslo, Norway.

Background: Bicyclists are vulnerable road users. The aim of this paper was to describe all bicycle-related traumatic cervical spine injuries (CSIs) in the South-East region of Norway (2015-2019), and to investigate whether certain types of CSIs are typical for bicyclists.

Methods: Retrospective cohort study of prospectively collected registry data of all CSIs in the South-East region of Norway (3. Read More

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Anterior Cervical Discectomy and Fusion in Professional Athletes: Allograft Versus Autograft.

Clin Spine Surg 2022 May 16. Epub 2022 May 16.

W.B. Carrell Memorial Clinic, Dallas, TX.

Study Design: Level III-retrospective study.

Objective: The aim was to evaluate the effect method of bone grafting and contract status have on outcomes in a cohort of professional athletes treated with anterior cervical discectomy and fusion (ACDF).

Summary Of Background Data: The choice of graft-type in ACDF is controversial, with current reports limited to smaller cohorts. Read More

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Comment on Bunmaprasert et al. Reducible Nonunited Type II Odontoid Fracture with Atlantoaxial Instability: Outcomes of Two Different Fixation Techniques. 2021, , 7990.

Authors:
Ayhan Kanat

Int J Environ Res Public Health 2022 Apr 20;19(9). Epub 2022 Apr 20.

Department of Neurosurgery, Medical Faculty, Recep Tayyip Erdogan University, Rize 53100, Turkey.

I read with great interest the paper of Bunmaprasert et al. [.. Read More

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Bariatric Surgery Lowers Rates of Spinal Symptoms and Spinal Surgery in a Morbidly Obese Population.

Clin Spine Surg 2022 May 11. Epub 2022 May 11.

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA.

Study Design: Retrospective analysis of New York State Inpatient Database years 2004-2013.

Objective: Assess rates of spinal diagnoses and procedures before and after bariatric surgery (BS).

Summary Of Background Data: BS for morbid obesity helps address common comorbidity burdens and improves quality of life for patients. Read More

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Blunt traumatic posterior cord syndrome.

Spinal Cord Ser Cases 2022 05 11;8(1):52. Epub 2022 May 11.

University of Arizona, College of Medicine Phoenix, Phoenix, AZ, USA.

Introduction: Posterior cord syndrome (PCS) is rare and insufficiently assessed in the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI).

Case Presentation: A 39-year-old male was involved in a motorcycle collision and presented with paresthesia of the entire body, neck pain, subjective right arm weakness, and loss of position sense in all extremities. Imaging of the cervical spine revealed fractures of the upper cervical spine including a teardrop fracture and hangman fracture. Read More

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Traumatic Cervical Facet Fractures and Dislocations.

JBJS Rev 2022 May 1;10(5). Epub 2022 May 1.

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

»: Flexion-distraction, axial loading, and rotational forces can cause various degrees of osseoligamentous disruption of the cervical spine, leading to traumatic cervical facet fractures and dislocations.

»: Low-energy forces lead to minimally displaced facet fractures that often can be treated with immobilization only. High-energy forces are more likely to cause unstable injuries with or without neurologic compromise, which may require surgical intervention. Read More

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Editorial Expression of Concern: Breaking the diagnosis: ankylosing spondylitis evidenced by cervical fracture following spine manipulation.

Intern Emerg Med 2022 05 10. Epub 2022 May 10.

Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Av. Dr. Arnaldo, 455, 3º andar, sala 3193, Cerqueira César, São Paulo, SP, 01246-903, Brazil.

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O-Arm Navigated Cervical Pedicle Screw Fixation in the Treatment of Lower Cervical Fracture-Dislocation.

Orthop Surg 2022 May 7. Epub 2022 May 7.

Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.

Objective: To evaluate the safety and efficacy of cervical pedicle screw (CPS) placement with O-arm navigation in the treatment of lower cervical fracture-dislocation.

Methods: A retrospective clinical study was performed involving 42 consecutive patients with lower cervical spine fracture-dislocation who underwent CPS fixation surgery with O-arm navigation (CPS group) or received conventional lateral mass screw (LMS) fixation surgery (LMS group) between August 2015 and August 2019. Accuracy of CPS position was evaluated by postoperative CT. Read More

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Mortality and complications in elderly patients with cervical spine injuries.

Injury 2022 Apr 20. Epub 2022 Apr 20.

Department of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayama City, Japan.

Purpose: To assess the complications and mortality in elderly individuals with cervical spine injuries.

Methods: This retrospective observational study was conducted in a tertiary care hospital in a rural area in Japan. Data sets from the trauma registry (January 2011 to March 2018) were analyzed. Read More

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Soft tissue injury in cervical spine is a risk factor for intersegmental instability: a finite element analysis.

World Neurosurg 2022 May 2. Epub 2022 May 2.

Engineering Center for Orthopaedic Research Excellence (E-CORE), Departments of Bioengineering and Orthopaedics, The University of Toledo, Toledo, Ohio.

Objective: Soft tissue cervical spine injury (CSI) have the possibility of causing cervical segmental instability which can lead to spinal cord injury. There is a lack of certainty in assessing whether soft tissue CSI is unstable or not. This biomechanical study aimed to investigate the risk factors of soft tissue CSI. Read More

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Healing process of Type II odontoid fractures after C1-C2 posterior screw fixation: Predictive factors for pseudoarthrosis.

Surg Neurol Int 2022 31;13:116. Epub 2022 Mar 31.

Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, United States.

Background: The healing process after C1-C2 posterior screw fixation (C1-C2 PSF) for odontoid fractures is not well understood. Here, we evaluated such processes and identified factors potentially contributing to pseudoarthroses following fusions for Type II odontoid fractures.

Methods: Pre- and post-operative cervical radiographs and computed tomography (CT) images from 15 patients with preoperative Type II odontoid fractures who underwent C1-C2 PSF were retrospectively reviewed. Read More

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Case report: Challenging post-traumatic pseudoarthrosis of C2 odontoid fracture and extreme C1-C2 subluxation.

Surg Neurol Int 2022 8;13:137. Epub 2022 Apr 8.

Department of Neurosurgery, Centro Hospitalar Universitário do Algarve, Faro, Portugal.

Background: Type II C2 odontoid fractures are common traumatic cervical spine lesions and have the highest risk of non-union without fusion. Pseudoarthrosis may lead to extreme anatomic deformation, and poor clinical outcomes. A 50-year-old male, following a traumatic C2 dens fracture treated when the patient was 44 years of age, newly presented at age 50 with pseudoarthrosis and severe C1-C2 subluxation that required a secondary fusion using a three-dimensional (3D) printed model for appropriate surgical planning. Read More

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Traumatic cervical spine injury due to pole dance accident: A potentially catastrophic unreported injury with a happy ending. Case report and literature review.

Surg Neurol Int 2022 22;13:162. Epub 2022 Apr 22.

Department of Traumatology, Hospital de la Fuerza Aerea de Chile, Santiago, Chile.

Background: Pole dancing is a sport that has become very popular. However, there is scarce literature on injuries associated with this sport. Here, we present a 23-year-old female who sustained a traumatic C4-C5 vertex cervical spine injury caused by a fall of 1 m while practicing pole dancing in an inverted position, requiring a 360 decompression/fusion. Read More

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Rare case of real-time observation of paralytic deterioration after cervical dislocation in the hyperacute phase.

BMC Musculoskelet Disord 2022 May 2;23(1):412. Epub 2022 May 2.

Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kitaku Kita-15 Nishi-7, Sapporo, Hokkaido, 060-8638, Japan.

Background: There have been no prior reports of real-time detailed records leading to complete quadriplegia immediately after fracture dislocation in high-energy trauma. Here, we report a case of cervical dislocation in which the deterioration to complete motor paralysis (modified Frankel B1) and complete recovery (Frankel E) could be monitored in real time after reduction in the hyperacute phase.

Case Presentation: A 65-year-old man was involved in a car accident and sustained a dislocation at the C5/6 level (Allen-Ferguson classification: distractive flexion injury stage IV). Read More

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A new posterior stabilization technique in pediatric subaxial cervical vertebrae: Stabilization of spinous processes with the microplate/screw system: A radiological anatomy study.

Ulus Travma Acil Cerrahi Derg 2022 May;28(5):678-685

Department of Neurosurgery, Health Sciences University, Bağcılar Training and Research Hospital, İstanbul-Turkey.

Background: There are limited options for posterior stabilization techniques in cases of cervical subaxial instability in children. We designed this study to investigate whether the spinous process (SP) stabilization, which was previously used in adults, can also be used in children.

Methods: Children aged 4-12 years who were admitted to our hospital between 2012 and 2020 and underwent 3D cervical computed tomography (CT) were retrospectively screened. Read More

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Vessel-Plasty Using Bone-Filling Mesh Container for Treatment of Malignant Severe Compression Fractures in Cervical Vertebrae.

J Pain Res 2022 21;15:1173-1182. Epub 2022 Apr 21.

Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China.

Objective: To evaluate the feasibility, safety, and efficacy of vessel-plasty using bone-filling mesh container (BFMC) for malignant severe compression fractures of cervical vertebra.

Methods: This study prospectively recruited fifteen consecutive patients (eight men, seven women; mean age, 57.4 years) with severe malignant compression fractures of cervical vertebrae for vessel-plasty. Read More

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Development of Online Technique for International Validation of the AO Spine Subaxial Injury Classification System.

Global Spine J 2022 Apr 27:21925682221098967. Epub 2022 Apr 27.

387400Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Study Design: Global cross-sectional survey.

Objective: To develop and refine the techniques for web-based international validation of fracture classification systems.

Methods: A live webinar was organized in 2018 for validation of the AO Spine Subaxial Injury Classification System, consisting of 35 unique computed tomography (CT) scans and key images with subaxial spine injuries. Read More

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Electric scooters: a quick way to get to the emergency department?

Br Dent J 2022 04 22;232(8):535-537. Epub 2022 Apr 22.

Oral and Maxillofacial Surgery Department, King´s College Hospital, Denmark Hill, London, SE5 9RS, UK; King´s College London, University of London, UK.

Introduction Electric scooters (e-scooters) are rife but are yet to be legalised in the UK. The aim of this paper was to investigate whether there had been an increase in the number of e-scooter injuries referred to the oral and maxillofacial surgery (OMFS) service at our unit. We present here what is, to our knowledge, the largest dataset regarding e-scooter-related injuries in the UK. Read More

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Cranial and vertebral osteosarcoma commonly has T2 signal heterogeneity, contrast enhancement, and osteolysis on MRI: A case series of 35 dogs.

Vet Radiol Ultrasound 2022 Apr 22. Epub 2022 Apr 22.

Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.

Magnetic resonance imaging (MRI) is commonly used to evaluate the central nervous system (CNS) in dogs; however, published studies describing the MRI appearance of cranial and vertebral osteosarcoma are scarce. In this multicenter, retrospective, case series study, MRI studies of 35 dogs with cranial or vertebral osteosarcoma were prospectively scored by consensus of two veterinary radiologists. Recorded characteristics were location, signal intensity (compared to gray matter), homogeneity, contrast enhancement, margin delineation, local invasion, osteolysis, osteosclerosis, zone of transition, periosteal proliferation, pathological fracture, meningeal/CNS involvement, and presence of metastatic disease. Read More

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Three Column Cervical Fracture-Dislocation in a 3-Year-Old Boy.

Cureus 2022 Mar 16;14(3):e23213. Epub 2022 Mar 16.

Department of Neurological Surgery, University of Washington, Seattle, USA.

Complete traumatic cervical fracture-dislocation with spinal cord transection in children is a rare entity with no evidence-based guidelines on management. The authors reviewed the literature for pediatric spinal cord injury and present the case of a 3-year-old with traumatic cervical fracture-dislocation and spinal cord transection who presented as a cervical-6 complete spinal cord injury (ASIA A). His other organ systems injured included liver, spleen, bowel, and abdominal aortic injury. Read More

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Full-Endoscopic Anterior Odontoid Screw Fixation: A Novel Surgical Technique.

Orthop Surg 2022 May 20;14(5):990-996. Epub 2022 Apr 20.

Department of Neurosurgery, Seoul St. Mary's Hospital, Spine Center, College of medicine, Seoul, South Korea.

Objective: First, to propose a novel minimally invasive technique of full-endoscopic anterior odontoid fixation (FEAOF) that aims to reduce the risk of retropharyngeal approach (both open and percutaneous techniques) to anterior odontoid screw fixation. Second, to describe steps of the procedure and, lastly, to report the initial outcomes in patients treated with this novel technique.

Methods: Four non-consecutive patients who were diagnosed with a displaced odontoid fracture (Anderson-D'Alonzo classification type II and Grauer subclassification type A or B) from 2019 to 2020 underwent surgical fixation by our novel technique for anterior odontoid screw fixation. Read More

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Modified orthopedic traction system for cervical and lower limb rehabilitation.

Authors:
Obinna P Fidelis

J Back Musculoskelet Rehabil 2022 Apr 8. Epub 2022 Apr 8.

Background: Orthopedic tractions can be employed in the rehabilitation of patients suffering from problems affecting the spine, as well as the upper and lower extremities but the high costs of using tractions due to prolonged hospital stays is a major disadvantage particularly in low-income economies.

Objective: The objective of this study was to design and develop a two-way adjustable traction system that accommodates both cervical and lower limb rehabilitation and improves limb and neck positioning.

Method: The production process involved the use of computer-aided design (CAD) as well as other manufacturing procedures like material selection, welding, and drilling. Read More

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Definitive high-dose, proton-based radiation for unresected mobile spine and sacral chordomas.

Radiother Oncol 2022 Apr 13;171:139-145. Epub 2022 Apr 13.

Department of Radiation Oncology, Massachusetts General Hospital, Boston, United States.

Background/purpose: Treatment of spine and sacral chordoma generally involves surgical resection, usually in conjunction with radiation therapy.In certain locations, resection may result in significant neurological dysfunction, so definitive radiation has been used as an alternative to surgery. The purpose of this study is to report the results of high-dose, proton-based definitive radiotherapy for unresected spinal and sacral chordomas. Read More

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Management of Tracheal Perforation following Anterior Cervical Spine Surgery: Report of Two Cases and Review of the Literature.

Case Rep Orthop 2022 5;2022:1914642. Epub 2022 Apr 5.

Department of Orthopaedics, Peking University Third Hospital, China.

Background: Tracheal perforation is a complication very rare but challenging that follows anterior cervical spine surgery. This article describes the management of tracheal perforation due to instrument failure after anterior cervical spine surgery performed in two patients because of fracture dislocation of the subaxial cervical spine. . Read More

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Odontoid fracture complicating ankylosing spondylitis presenting with cervical canal stenosis and quadriparesis: A case report with 5-year follow-up and review of the literature.

Int J Surg Case Rep 2022 Apr 11;94:107067. Epub 2022 Apr 11.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran; Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:

Introduction And Importance: Spinal fractures, especially cervical fractures, are more common in patients with ankylosing spondylitis in comparison with unaffected patients. However, odontoid fractures are relatively rare in these patients. Also, neurological symptoms are not common in odontoid fractures due to the larger diameter of the spinal canal at this level. Read More

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Type II Odontoid Fractures Case Series: History of Seizures a Risk Factor for Failure of Non-operative Treatment of Type II Odontoid Fractures.

J Orthop Case Rep 2021 Sep;11(9):94-98

Department of Spine, Center for Spine and Orthopedics, Thornton, Colorado, USA.

Introduction: Odontoid fractures are one of the most common injuries to the cervical spine. Type II odontoid fracture treatment varies depending on age, co-morbidities, and fracture morphology. Treatment ranges from cervical orthosis to surgical intervention. Read More

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September 2021

A Stepwise Posterolateral Approach for Computed Tomography Guided C2 (Axis) Transpedicular Biopsy: A Technical Note.

J Orthop Case Rep 2021 Sep;11(9):77-81

Department of Spine Surgery, Sancheti Institute Of Orthopedics and Rehabilitation, Shivajinagar, Pune, Maharashtra, India.

Introduction: Minimally invasive percutaneous CT-guided biopsies of the spine are well established. Although, technical difficulties with CT-guided percutaneous intervention of the C2 body present due to the smaller size of the vertebral elements and potential injury of the critical adjacent structures such as Carotid arteries laterally, vertebral artery, and cervical nerve posterolaterally, pharynx and larynx anteriorly, and spinal cord in the cervical spinal canal. Routinely transoral approach is used for the percutaneous intervention of the C2 body. Read More

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September 2021

Breaking strength and bone microarchitecture in osteoporosis: a biomechanical approximation based on load tests in 104 human vertebrae from the cervical, thoracic, and lumbar spines of 13 body donors.

J Orthop Surg Res 2022 Apr 11;17(1):228. Epub 2022 Apr 11.

Department of Internal Medicine IV, Municipal Hospital Suedstadt Rostock, Academic Teaching Hospital of the University of Rostock, Rostock, Germany.

Background: The purpose of the study was to investigate associations between biomechanical resilience (failure load, failure strength) and the microarchitecture of cancellous bone in the vertebrae of human cadavers with low bone density with or without vertebral fractures (VFx).

Methods: Spines were removed from 13 body donors (approval no. A 2017-0072) and analyzed in regard to bone mineral density (BMD), Hounsfield units (HU), and fracture count (Fx) with the aid of high-resolution CT images. Read More

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Concurrent cranial and cervical spine injuries by associated injury mechanisms in traumatic brain injury patients.

SA J Radiol 2022 24;26(1):2321. Epub 2022 Mar 24.

Trauma Service and Trauma ICU, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.

Background: The incidence of concurrent traumatic brain injury (TBI) and cervical spine injury (c-spine) is relatively high, with a variety of risk factors.

Objectives: The purpose of this study was to determine the incidence and related factors associated with combined cranial and c-spine injury in TBI patients by assessing their demographics and clinical profiles.

Method: A retrospective study of patients attending the Trauma Centre at the Inkosi Albert Luthuli Hospital as post head trauma emergencies and their CT brain and c-spine imaging performed between January 2018 and December 2018. Read More

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