7,998 results match your criteria Fracture Cervical Spine


Letter to the Editor Regarding "Bilateral Vertebral Artery Occlusion After Cervical Spine Fracture Dislocation".

World Neurosurg 2021 May;149:312

Department of Otorhinolaryngology and Head-Neck Surgery, Dr. Sampurnanand Medical College, Jodhpur, India. Electronic address:

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Effects of focused continuous pulsed electromagnetic field therapy on early tendon-to-bone healing.

Bone Joint Res 2021 May;10(5):298-306

Shoulder Unit, Division of Orthopaedic Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Aims: Rotator cuff (RC) tears are common musculoskeletal injuries which often require surgical intervention. Noninvasive pulsed electromagnetic field (PEMF) devices have been approved for treatment of long-bone fracture nonunions and as an adjunct to lumbar and cervical spine fusion surgery. This study aimed to assess the effect of continuous PEMF on postoperative RC healing in a rat RC repair model. Read More

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The impact of helicopter emergency medical services and craniocervical traction on the early reduction of cervical spine dislocation in a rural area of Japan.

J Orthop Sci 2021 Apr 28. Epub 2021 Apr 28.

The Department of Orthopaedic Surgery, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan.

Background: Several studies have shown an association between achieving decompression of the spinal cord within a few hours and neurological recovery, even in patients with complete paralysis due to cervical spine dislocation. This study aimed to clarify the impact of helicopter emergency medical services (HEMSs) and craniocervical traction on the rapid reduction of lower cervical spine dislocation in rural Japan.

Methods: The success rate of and factors inhibiting closed reduction, the time from injury to reduction and the functional prognosis of lower cervical spine dislocations treated between July 2012 and February 2020 were retrospectively analysed. Read More

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Carbon fiber-reinforced PEEK instrumentation in the spinal oncology population: a retrospective series demonstrating technique, feasibility, and clinical outcomes.

Neurosurg Focus 2021 May;50(5):E13

Departments of1Neurologic Surgery and.

Objective: The authors aimed to demonstrate the feasibility and advantages of carbon fiber-reinforced PEEK (CFRP) composite implants in patients with both primary and secondary osseous spinal tumors.

Methods: Twenty-eight spinal tumor patients who underwent fixation with CFRP hardware were retrospectively identified in a Spine Tumor Quality Database at a single institution. Demographic, procedural, and follow-up data were retrospectively collected. Read More

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A biomechanical comparison of a cement-augmented odontoid screw with a posterior-instrumented fusion in geriatric patients with an odontoid fracture type IIb.

Eur Spine J 2021 Apr 30. Epub 2021 Apr 30.

Department of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany.

Purpose: Possible surgical therapies for odontoid fracture type IIb include odontoid screw osteosynthesis (OG) with preservation of mobility or dorsal C1/2 fusion with restriction of cervical rotation. In order to reduce material loosening in odontoid screw osteosynthesis in patients with low bone density, augmentation at the base of the axis using bone cement has been established as a suitable alternative. In this study, we compared cement-augmented OG and C1/2 fusion according to Harms (HG). Read More

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Frequency of Osteoporosis in Black Nigerian Women Aged 50 and above with Degenerative Musculoskeletal Diseases and Fractures.

West Afr J Med 2021 Apr;38(4):342-346

Rheumatology Unit, Department of Medicine, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos State, Nigeria.

Background And Objectives: Osteoporosis is a bone disease characterized by reduced bone density (and microarchitecture damage) prevalent in post-menopausal women, who are prone to fragility fractures. There is paucity of data regarding the prevalence of osteoporosis in Nigerian women. This study was carried out to evaluate the frequency of osteoporosis among Nigerian women with degenerative skeletal diseases and fractures who visited our hospital so as to suggest prevention and early treatment in order to reduce the occurrence of fragility fractures. Read More

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Use of O-arm With Intraoperative Arteriography for Localization and Stealth Navigation of the Vertebral Arteries During Posterior Cervical Spine Surgery.

Int J Spine Surg 2021 Feb 18;14(s4):S10-S15. Epub 2021 Jan 18.

Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, California.

Background: Vertebral artery injury (VAI) can be a devastating complication during cervical spine surgery. Although considered a rare occurrence overall, incidences of VAI have been reported in the ranges of 0.07% to 8%. Read More

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February 2021

A Case Report of Complete Dislocation of Atlantoaxial Joint due to a Traumatic and Pathological Axial Lesion.

Int J Spine Surg 2021 Feb 18;14(s4):S5-S9. Epub 2021 Jan 18.

Department of Orthopedics, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, Sichuan, P.R. China.

Background: Atlantoaxial dislocation usually results in sudden death. The patient had never found any axial lesion before, and the atlantoaxial joint dislocation was caused by rotation of the neck due to discomfort of the neck. The patient was given surgical treatment after the rescue of respiratory and cardiac arrest during transportation, which was extremely rare and rarely reported. Read More

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February 2021

Prevalence of Spasticity and Below-Level Neuropathic Pain Related to Spinal Cord Injury Level and Damage to the Lower Spinal Segments.

J Rehabil Med Clin Commun 2020 8;3:1000039. Epub 2020 Mar 8.

Department of Rehabilitation Medicine, Sahlgrenska University Hospital, and Sahlgrenska Academy, Institute of Neuroscience and Physiology, Section of Clinical Neuroscience and Rehabilitation, University of Gothenburg, Gothenburg, Sweden.

Objective: To evaluate spasticity and below-level spinal cord injury neuropathic pain after spinal cord injury in patients with, or without, damage to the lumbar spinal cord and roots.

Design/patients: Chart review of 269 patients with spinal cord injury from segments C1 to T11.

Methods: Patients were interviewed concerning leg spasticity and below-level spinal cord injury neuropathic pain in the lower trunk and legs. Read More

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Traumatic Atlantoaxial Dislocation with Type II Odontoid Fractures: A Case Report.

Ethiop J Health Sci 2020 Nov;30(6):1047-1050

Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.

Background: Odontoid fracture frequently ensues after a cervical trauma, and most commonly at the junction between the dens and the body (type II odontoid fracture).

Case Presentation: This report is focused on a 24-years-old male patient with right-sided hemiparesis, resulting from traumatic atlantoaxial dislocation with type II odontoid fracture. Cervical CT-scanning showed a spondylolisthesis of the C1-C2 complex with type II odontoid fracture, and the injury was treated using posterior reduction and internal stabilization. Read More

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November 2020

Traumatic atlanto-axial rotatory subluxation and dens fracture with subaxial SCIWORA of Brown-Sequard syndrome: A case report.

Medicine (Baltimore) 2021 Apr;100(16):e25588

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

Rationale: A case of traumatic atlanto-axial rotatory subluxation (AARS), dens fracture, rupture of transverse atlantal ligament (TAL), and subaxial spinal cord injury without radiographic abnormality (SCIWORA) of Brown-Sequard syndrome has never been reported in a child.

Patient Concerns: A 7-year-old boy presented to hospital with torticollis, neck pain, and limited neck rotation after a seat-belt injury sustained during a car accident. Neurologic examination revealed right-side motor weakness and left-side sensory abnormality, known as Brown-Sequard syndrome. Read More

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New Grading System for Cervical Paraspinal Soft Tissue Damage After Traumatic Cervical Spinal Cord Injury Without Major Fracture Based on the Short-T1 Inversion Recovery Mid-Sagittal MRI for Prediction of Neurological Improvements: The STIR-MRI Grade.

Global Spine J 2021 Apr 21:21925682211010122. Epub 2021 Apr 21.

Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Hon-cho, Hirosaki, Aomori, Japan.

Study Design: Retrospective cohort study.

Objective: To develop a grading method for cervical paraspinal soft tissue damage after cervical spinal cord injury (CSCI) without major fracture based on the short T1 inversion recovery (STIR) mid-sagittal magnetic resonance image (MRI) for prediction of neurological improvements.

Methods: This study included 34 patients with CSCI without major fracture, treated conservatively for at least 1 year and graded using the STIR-MRI Grade. Read More

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Spinal Injury Associated With Firearm Use.

Cureus 2021 Mar 16;13(3):e13918. Epub 2021 Mar 16.

Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, USA.

Objective Injuries associated with firearms are a significant health burden. However, there is no comprehensive study of firearm spinal injuries over a large population. It was the purpose of this study to analyze the demographics of spinal firearm injuries across the entire United States for all ages using a national database. Read More

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Posterior hemivertebra resection and short-segment fusion with lateral mass screws in congenital scoliosis: a novel strategy for the resource-limited setting.

J Orthop Surg Res 2021 Apr 17;16(1):271. Epub 2021 Apr 17.

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Keshavarz Blvd, Tehran, 1419733141, Iran.

Background: Posterior hemivertebra resection and short-segment fusion with pedicle screws are an established treatment in congenital scoliosis, which require pediatric-specific instrumentation. The purpose of this study was to report the results of utilizing cervical lateral mass screws instead of pedicle screws in the treatment of congenital scoliosis in children younger than 5 years old.

Methods: In an IRB-approved retrospective chart review study, patients <5 years old with congenital scoliosis who underwent posterior hemivertebra resection and fusion with lateral mass screws from 2013 to 2017 were included. Read More

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Comparison of biomechanical performance of single-level triangular and quadrilateral profile anterior cervical plates.

PLoS One 2021 15;16(4):e0250270. Epub 2021 Apr 15.

School of Mechanical Engineering, Xinjiang University, Urumqi, China.

The quadrilateral anterior cervical plate (ACP) is used extensively in anterior cervical discectomy and fusion (ACDF) to reconstruct the stability of the cervical spine and prevent cage subsidence. However, there have been no comparison studies on the biomechanical performance of quadrilateral ACP and triangular ACP. The objective of this study is to investigate the functional outcomes of quadrilateral ACP and triangular ACP usage in ACDF surgery. Read More

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Accuracy and reliability of the AO Spine subaxial cervical spine classification system grading subaxial cervical facet injury morphology.

Eur Spine J 2021 Apr 11. Epub 2021 Apr 11.

Department of Orthopedic and Traumatology, Hospital Churruca Visca, Buenos Aires, Argentina.

Purpose: A classification system was recently developed by the international association AO Spine for assessing subaxial cervical spine fractures. Significant variability exists between users of the facet component, which consists of four morphological types (F1-F4). The primary aims of this study were to assess the diagnostic accuracy and reliability of this new system's facet injury morphological classifications. Read More

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Sex-based differences in helmet performance in bicycle trauma.

J Epidemiol Community Health 2021 Apr 7. Epub 2021 Apr 7.

Department of Neurosurgery, Yale School of Medicine, New Haven, Connecticut, USA

Objectives: To determine the existence of sex-based differences in the protective effects of helmets against common injuries in bicycle trauma.

Methods: In a retrospective cohort study, we identified patients 18 years or older in the 2017 National Trauma Database presenting after bicycle crash. Sex-disaggregated and sex-combined multivariable logistic regression models were calculated for short-term outcomes that included age, involvement with motor vehicle collision, anticoagulant use, bleeding disorder and helmet use. Read More

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Prediction Score for Cervical Spine Fracture in Patients with Traumatic Neck Injury.

Neurol Res Int 2021 18;2021:6658679. Epub 2021 Mar 18.

Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Background: Cervical spine fracture is approximately 2%-5%. Diagnostic imaging in developing countries has several limitations. A computed tomography scan is not available 24 hours and not cost-effective. Read More

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Variation in global treatment for subaxial cervical spine isolated unilateral facet fractures.

Eur Spine J 2021 Apr 2. Epub 2021 Apr 2.

Department of Orthopaedic Surgery, Rothman Institute at Thomas Jefferson University Hospital, 925 Chestnut St, 5th Floor, Philadelphia, PA, 19107, USA.

Purpose: To determine the variation in the global treatment practices for subaxial unilateral cervical spine facet fractures based on surgeon experience, practice setting, and surgical subspecialty.

Methods: A survey was sent to 272 members of the AO Spine Subaxial Injury Classification System Validation Group worldwide. Questions surveyed surgeon preferences with regard to diagnostic work-up and treatment of fracture types F1-F3, according to the AO Spine Subaxial Cervical Spine Injury Classification System, with various associated neurologic injuries. Read More

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Biomechanics considerations in the treatment of double traumatic non-contiguous subaxial cervical lesions.

Br J Neurosurg 2021 Apr 1:1-5. Epub 2021 Apr 1.

Department of Neurosurgery, S. Maurizio Hospital, Bolzano, Italy.

Double traumatic non-contiguous lesions of the subaxial cervical region are a rare event mostly caused by multiple, simultaneous or rapidly consecutive high-energy-impact traumas. The modality of treatment chosen for these lesions must be related to local lower cervical spine biomechanics. We present the case of a 59 year-old patient who suffered a subaxial cervical spine double fracture-dislocation following a complex-dynamic trauma. Read More

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Conservative treatment and outcome of upper cervical spine fractures in young children: A STROBE-compliant case series.

Medicine (Baltimore) 2021 Apr;100(13):e25334

Department of Pediatric Surgery, University Children's Hospital Basel, University of Basel, Switzerland.

Abstract: Cervical spine (C-spine) fractures in young children are very rare, and little information on treatment modalities and functional, radiographic, and patient-reported outcome exists. In this 2-center, retrospective case series, we assessed subjective and functional mid-term outcomes in children aged ≤5 years whose C-spine fractures were treated nonoperatively.Between 2000 and 2018, 6 children (median age at injury: 23. Read More

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Pediatric hanging and strangulation: is vascular injury a true risk?

Pediatr Radiol 2021 Mar 30. Epub 2021 Mar 30.

Department of Radiology and Medical Imaging, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229, USA.

Background: Acute screening of pediatric strangulation and hanging injuries has evolved at many institutions to include cervical arterial vascular imaging. As current standards in pediatric imaging support less radiation exposure and increased imaging appropriateness, it is questionable whether vascular arterial injury is a true risk in this population.

Objective: To determine the role of cervical vascular arterial imaging in the evaluation of pediatric hanging and strangulation injuries. Read More

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European Resuscitation Council Guidelines 2021: First aid.

Resuscitation 2021 Apr 24;161:270-290. Epub 2021 Mar 24.

Thames Valley Air Ambulance, Stokenchurch, UK.

The European Resuscitation Council has produced these first aid guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics include the first aid management of emergency medicine and trauma. For medical emergencies the following content is covered: recovery position, optimal positioning for shock, bronchodilator administration for asthma, recognition of stroke, early aspirin for chest pain, second dose of adrenaline for anaphylaxis, management of hypoglycaemia, oral rehydration solutions for treating exertion-related dehydration, management of heat stroke by cooling, supplemental oxygen in acute stroke, and presyncope. Read More

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Surgical Treatment for Cervical Spine Fracture in Patients With Ankylosing Spondylitis: Single Posterior Approach or Combined Anterior-posterior Approach?

Clin Spine Surg 2021 Mar 23. Epub 2021 Mar 23.

Department of Orthopedics, Peking University Third Hospital Beijing Key Laboratory of Spinal Disease Research, Beijing, People's Republic of China.

Study Design: A retrospective single-center study.

Objective: We aimed to compare the clinical outcomes of cervical spine fracture accompanied with ankylosing spondylitis (ASCSF) treated by single posterior approach (PA) and combined anterior-posterior approach (CA) for patients who were followed up for >1 year.

Summary Of Background Data: For ASCSF patients, surgical treatment has been widely accepted as a recommendable therapeutic option. Read More

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The role of the transversal ligament on the atlantoaxial complex - Bending forces at C1/2 flexion limits in the elderly.

Clin Biomech (Bristol, Avon) 2021 Mar 20;84:105329. Epub 2021 Mar 20.

Department of Orthopedic Surgery, Division of Spine Surgery, Schön-Kliniken Düsseldorf, Düsseldorf, Germany.

Introduction: Biomechanical functionality as well as trauma mechanisms of the atlantoaxial complex are still an issue of controversy. The transverse atlantal ligament is the strongest stabilizator. The present study aimed to analyze the bending forces of the transverse atlantal ligament and of the base of the odontoid in elderly specimens. Read More

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Surgical outcomes of subaxial cervical fractures in patients with ankylosing spinal disorder.

Turk Neurosurg 2020 Jul 16. Epub 2020 Jul 16.

adana city hospital.

Aim: Ankylosing spinal disorder (ASD) causes the progressive ossification of the spinal column. The most frequent fractures in the spine in patients with ASD are in the subaxial, cervical, and cervicothoracic junctions. The purpose of this study is to evaluate the patient groups with ASD in terms of patients' characteristics, applied surgical approaches, and the outcomes. Read More

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PICA injury secondary to anterior odontoid screw fixation: Case report of an exceptional complication.

Neurochirurgie 2021 Mar 19. Epub 2021 Mar 19.

Neurosurgery department, Aix-Marseille University, APHM, CHU Timone, Marseille, France.

Background: Odontoid fracture is a common injury in the upper cervical spine that can sometimes be managed by anterior odontoid screw fixation.

Case Description: We report the first case of iatrogenic postero-inferior cerebellar artery (PICA) injury while performing anterior odontoid screw fixation for a type II odontoid fracture in a 22-year-old man. Fisher grade 4 subarachnoid hemorrhage secondary to iatrogenic pseudoaneurysm formation was managed by the endovascular neuroradiologist. Read More

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A Review of Frontal Orbital and Frontal Sinus Fractures and Associated Ocular Injuries - Level I Trauma Center - University Hospital Experience.

J Craniofac Surg 2021 Mar 12. Epub 2021 Mar 12.

Division of Plastic and Reconstructive Surgery, McGill University, Montreal, Quebec, Canada.

Background: : Traumatic frontal fractures result from high force injuries and can result in significant morbidity and mortality. The purpose of the current study is to evaluate our Montreal General Hospital (MGH) experience with frontal bone fractures.

Methods: : A comprehensive review of our trauma database was performed. Read More

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An Unrecognized Ligament and its Ossification in the Craniocervical Junction: Prevalence, Patient Characteristics, and Anatomic Evidence.

Clin Orthop Relat Res 2021 Mar 15. Epub 2021 Mar 15.

B. Wu, W. Cui, T. Rong, D. Sang, B. Xiao, D. Wang, J. Zhang, B. Liu, Department of Orthopaedic Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Background: In the craniocervical junction, the ligaments between the anterior foramen magnum and the anterior arch of the atlas are not well defined, and ossification of the ligaments in this region has rarely been reported. Characterizing the anatomy and ossification of these ligaments may help in the diagnosis and treatment of disorders in this region.

Questions/purposes: (1) What is the prevalence of an unrecognized ossification at the craniocervical junction in patients with cervical spine disorders, and what are the patient characteristics associated with this ossification? (2) Do patients with this ossification have a greater risk of ossification of other structures at the craniocervical junction or cervical spine? (3) Is there an unreported ligament at this ossified site?

Methods: We conducted a retrospective study of 578 hospitalized patients who underwent CT for cervical spine disorders between January 2016 and July 2020. Read More

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Does fracture-extension into the pars interarticularis alter outcomes in odontoid failure? a technical note on pars interarticularis osteotomy and atlantoaxial distraction arthrodesis.

Eur Spine J 2021 Mar 18. Epub 2021 Mar 18.

Dept. Spine Surgery, London Bridge Hospital, St Olaf House, 27 Tooley street, London, SE1 2PR, UK.

Purpose: Odontoid process fractures can extend rostral into the C2 arch. We investigated the clinical impact of a concurrent fracture of the pars interarticularis on odontoid failure. To overcome the surgical challenges related to the morphology of these fractures, we describe a novel surgical strategy using atlantoaxial joint distraction arthrodesis. Read More

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