207 results match your criteria Lower Cervical Spine Fractures and Dislocations


Estimating the number of traffic crash-related cervical spine injuries in the United States; An analysis and comparison of national crash and hospital data.

Accid Anal Prev 2020 Jul 12;142:105571. Epub 2020 May 12.

Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, Netherlands.

Background: Cervical spine injury is a common result of traffic crashes, and such injuries range in severity from minor (i.e. sprain/strain) to moderate (intervertebral disk derangement) to serious and greater (fractures, dislocations, and spinal cord injuries). Read More

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http://dx.doi.org/10.1016/j.aap.2020.105571DOI Listing

Indicatory external findings in two cases of fatal cervical spine injury.

J Forensic Leg Med 2020 Jan 31;69:101883. Epub 2019 Oct 31.

Institute of Forensic and Traffic Medicine, University Hospital of Heidelberg, Heidelberg, Germany.

A fatality of an 83-year-old female experiencing acute circulatory failure as a result of a type II odontoid fracture is compared with the case of an 86-year-old female who died from delayed cardiopulmonary complications due to a lower cervical spine injury. Falls on the forehead from minor height can cause odontoid fractures especially in elderly patients, hyperextension of the neck on the other hand can lead to lower cervical spine injury with prevertebral hematoma. The latter can lead to extensive hematoma of the neck, but might be difficult to diagnose by computed tomography in the living patient. Read More

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http://dx.doi.org/10.1016/j.jflm.2019.101883DOI Listing
January 2020

Low bone density and high morbidity in patients between 55 and 70 years with displaced femoral neck fractures: a case-control study of 50 patients vs 150 normal controls.

BMC Musculoskelet Disord 2019 Aug 14;20(1):371. Epub 2019 Aug 14.

Department of Orthopedic Surgery, Akershus University Hospital, Lørenskog, Norway.

Background: A displaced femoral neck fracture (FNF) in patients 55-70 years is a serious injury with a high risk of treatment failure and the optimal surgical treatment remains unclear. We aimed to describe characteristics of fracture patients compared to a sample from the normal population.

Methods: Fifty patients aged 55-70 years with a displaced FNF were gender- and age- matched with a control group of 150 persons without a hip fracture using computergenerated randomization and the Norwegian National Population Register. Read More

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http://dx.doi.org/10.1186/s12891-019-2732-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692959PMC
August 2019
4 Reads

Missed manubriosternal dislocation in patient with thoracolumbar fracture, a case report.

BMC Surg 2019 Jul 29;19(1):101. Epub 2019 Jul 29.

Department of Spine Surgery, Ningbo No.6 Hospital, No.1059, Zhongshan East Road, Ningbo, China.

Background: Spine fractures combined with sternal injury are most commonly occur in the thoracic region. Lower cervical and thoracolumbar injuries have also been reported, especially for the patients with manubriosternal dislocation. The type of spine injury is easily recognized in initial presentation, but we may miss the sternal fracture and manubriosternal dislocation. Read More

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http://dx.doi.org/10.1186/s12893-019-0564-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664747PMC
July 2019
8 Reads

Emergent Imaging of Pediatric Cervical Spine Trauma.

Radiographics 2019 Jul-Aug;39(4):1126-1142. Epub 2019 Jun 7.

From the Department of Radiology, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH 43205, and Department of Radiology, The Ohio State University, Columbus, Ohio (A.S.M.); Department of Radiology and Medical Imaging, Cincinnati Children's Hospital, Cincinnati, Ohio (U.N.); and Department of Radiology and Imaging Sciences, Riley Hospital for Children at Indiana University Health, Indianapolis, Ind (R.R.).

Owing to physiologic and biomechanical differences, the incidence, patterns, distributions, and mechanisms of spinal injury in children differ from those in adults. Furthermore, evaluation of the spine can be complicated by synchondroses, developmental and/or anatomic variants, and interpretative pitfalls that are unique to the developing spine of a child. Although the incidence of spinal injury is lower in children, the sequelae are more severe, with higher morbidity and mortality. Read More

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http://dx.doi.org/10.1148/rg.2019180100DOI Listing
May 2020
6 Reads

Nonmetallic posterior monosegmental cervical fusion of a dislocated C6/7 fracture in a 4-year-old girl : A case report.

Orthopade 2019 May;48(5):433-439

Spine Center, Department of Orthopaedic Surgery, Trauma Surgery and Division of Spinal Cord Injury, Ruprecht Karls University Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg, Germany.

Purpose: Pediatric cervical spine injuries constitute approximately 1-2% of all pediatric trauma cases. Usually pediatric vertebral injuries appear as stable A type fractures, whereas B and C type injuries are relatively uncommon. In contrast to adults, the appropriate treatment strategy in children is still controversial and places spine surgeons in complex situations. Read More

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http://dx.doi.org/10.1007/s00132-019-03714-9DOI Listing
May 2019
3 Reads

Cervical and thoracic spine injury in pediatric motor vehicle crash passengers.

Traffic Inj Prev 2019 4;20(1):84-92. Epub 2019 Feb 4.

d Nationwide Children's Center for Injury Research and Policy , Columbus , Ohio.

Objective: Motor vehicle occupants aged 8 to 12 years are in transition, in terms of both restraint use (booster seat or vehicle belt) and anatomical development. Rear-seated occupants in this age group are more likely to be inappropriately restrained than other age groups, increasing their vulnerability to spinal injury. The skeletal anatomy of an 8- to 12-year-old child is also in developmental transition, resulting in spinal injury patterns that are unique to this age group. Read More

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http://dx.doi.org/10.1080/15389588.2018.1529412DOI Listing
June 2019
10 Reads

Surgical treatment for old subaxial cervical dislocation with bilateral locked facets in a 3-year-old girl: A case report.

Medicine (Baltimore) 2018 May;97(18):e0553

Department of Orthopaedic Surgery, Shengjing Hospital of China Medical University, Shenyang City, Liaoning Province, P.R. China.

Rationale: This study aimed to describe the case of a 3-year-old girl with old bilateral facet dislocation on cervical vertebrae 6 and 7, who had spinal cord transection, received surgical treatment, and achieved a relative satisfactory therapeutic effect.

Patient Concerns: A 3-year-old girl was urgently transferred to the hospital after a car accident. DIAGNOSES:: she was diagnosed with splenic rupture, intracranial hemorrhage, cervical dislocation, spinal transection, and Monteggia fracture of the left upper limb. Read More

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http://dx.doi.org/10.1097/MD.0000000000010553DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393066PMC
May 2018
28 Reads

Surgical Treatment of Lower Cervical Fracture-Dislocation with Spinal Cord Injuries by Anterior Approach: 5- to 15-Year Follow-Up.

World Neurosurg 2018 Jul 6;115:e137-e145. Epub 2018 Apr 6.

Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University College of Medicine, Xi'an, Shanxi, China. Electronic address:

Background: Lower cervical fracture-dislocations frequently occur with spinal cord injuries. There is no clear consensus on best treatment option. Anterior approach surgery with direct decompression and reduction has become widely accepted. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.03.213DOI Listing
July 2018
16 Reads

External fixation and surgical fusion for pediatric cervical spine injuries: Short-term outcomes.

Clin Neurol Neurosurg 2018 05 5;168:18-23. Epub 2018 Feb 5.

Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Objective: To compare in-hospital complication rates in pediatric patients with atlantoaxial and subaxial injuries undergoing either external fixation or surgical fusion.

Patients And Methods: Baseline and outcome data were obtained from the 2002-2011 Nationwide Inpatient Sample (NIS) for patients under the age of 18 with a diagnosis of cervical spine fracture without spinal cord injury or cervical spine subluxation. Patients who underwent external immobilization or internal fixation were included for analysis. Read More

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http://dx.doi.org/10.1016/j.clineuro.2018.02.005DOI Listing
May 2018
7 Reads

Management of Severe Lower Cervical Facet Dislocation without Vertebral Body Fracture Using Skull Traction and an Anterior Approach.

Med Sci Monit 2018 Mar 3;24:1295-1302. Epub 2018 Mar 3.

Department of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China (mainland).

BACKGROUND Cervical facet dislocation is the anterior displacement of one cervical vertebral body on another. The aim of this study was to evaluate the clinical efficacy of skull traction through an anterior cervical approach in the treatment of severe lower cervical facet dislocation without vertebral body fracture. MATERIAL AND METHODS Forty subjects with severe lower cervical facet dislocation, without vertebral body fracture, were treated between February 2010 and December 2013. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846369PMC
http://dx.doi.org/10.12659/msm.908515DOI Listing
March 2018
14 Reads

Clinical Efficacy of Anterior Partial Corpectomy and Titanium Mesh Fusion and Internal Fixation for Treatment of Old Fracture Dislocation of the Lower Cervical Spine.

Med Sci Monit 2017 Nov 29;23:5675-5682. Epub 2017 Nov 29.

Department of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China (mainland).

BACKGROUND The aim of this study was to analyze the clinical features and to evaluate the efficacy of anterior partial corpectomy and titanium mesh fusion and internal fixation of old fracture dislocation of the lower cervical spine. MATERIAL AND METHODS We retrospectively analyzed the clinical data of 52 patients with old lower cervical fracture and dislocation treated with anterior partial corpectomy and titanium mesh fusion fixation between January 2008 and December 2013, with a mean follow-up period of 4.1 years. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5717993PMC
http://dx.doi.org/10.12659/msm.907470DOI Listing
November 2017
12 Reads

Differences between postmortem CT and autopsy in death investigation of cervical spine injuries.

Forensic Sci Int 2017 Dec 28;281:44-51. Epub 2017 Oct 28.

Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan; Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.

Objectives: To clarify the differences between postmortem CT (PMCT) and autopsy findings in the postmortem detection of cervical spine injuries (CSIs).

Materials And Methods: Our department's forensic pathology database was searched for CSI cases. In each case, the autopsy data and radiologists' interpretations were reviewed for the presence of bone fractures and intervertebral injuries. Read More

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http://dx.doi.org/10.1016/j.forsciint.2017.10.029DOI Listing
December 2017
51 Reads
2.120 Impact Factor

Traumatic subaxial cervical facet subluxation and dislocation: epidemiology, radiographic analyses, and risk factors for spinal cord injury.

Spine J 2018 03 21;18(3):387-398. Epub 2017 Jul 21.

Centre for Orthopaedic & Trauma Research, Adelaide Medical School, The University of Adelaide, 30 Frome Rd, Adelaide, SA 5000, Australia; Adelaide Centre for Spinal Research, Adelaide Health and Medical Sciences Building, North Terrace, Adelaide, SA 5000, Australia; The Spinal Injuries Unit, Department of Neurosurgery, Royal Adelaide Hospital, SA, Australia.

Background Context: Distractive flexion injuries (DFIs) of the subaxial cervical spine are major contributors to spinal cord injury (SCI). Prompt assessment and early intervention of DFIs associated with SCI are crucial to optimize patient outcome; however, neurologic examination of patients with subaxial cervical injury is often difficult, as patients commonly present with reduced levels of consciousness. Therefore, it is important to establish potential associations between injury epidemiology and radiographic features, and neurologic involvement. Read More

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http://dx.doi.org/10.1016/j.spinee.2017.07.175DOI Listing
March 2018
34 Reads

Posterior Bilateral Intermuscular Approach for Upper Cervical Spine Injuries.

World Neurosurg 2017 Aug 22;104:869-875. Epub 2017 May 22.

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, China.

Objective: To investigate a novel intermuscular surgical approach for posterior upper cervical spine fixation.

Methods: Twenty-three healthy volunteers underwent magnetic resonance imaging. By using the magnetic resonance imaging scans in transverse view at the level of lower edge of atlas, the distances from the posterior midline to lateral margin of trapezius, to the medial margin of splenius capitis, and to middle line of semispinalis capitis were recorded. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.05.051DOI Listing
August 2017
23 Reads

Traumatic Cervical Unilateral and Bilateral Facet Dislocations Treated With Anterior Cervical Discectomy and Fusion Has a Low Failure Rate.

Global Spine J 2017 Apr 6;7(2):110-115. Epub 2017 Apr 6.

Harborview Medical Center, Seattle, WA, USA.

Study Design: Retrospective radiographic and chart review.

Objective: To define the rate and associated risk factors of treatment failure of anterior cervical fusion for treatment of cervical facet dislocations.

Methods: Between 2004 and 2014, a retrospective review at a single level 1 trauma center identified 38 patients with unilateral or bilateral dislocated facet(s) treated with anterior cervical discectomy and fusion (ACDF). Read More

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http://dx.doi.org/10.1177/2192568217694002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5415151PMC
April 2017
33 Reads
1 Citation

Single-Session Combined Anterior-Posterior Approach for Treatment of Ankylosing Spondylitis with Obvious Displaced Lower Cervical Spine Fractures and Dislocations.

Biomed Res Int 2017 4;2017:9205834. Epub 2017 Jan 4.

Department of Orthopaedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

For patients with AS and lower cervical spine fractures, surgical methods have mainly included the single anterior approach, single posterior approach, and combined anterior-posterior approach. However, various surgical procedures were utilized because the fractures have not been clearly classified according to presence of displacement in these previous studies. Consequently, controversies have been raised regarding the selection of the surgical procedure. Read More

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http://dx.doi.org/10.1155/2017/9205834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241478PMC
February 2017
14 Reads

Number of positive radiographic findings in pediatric trauma patients.

Emerg Radiol 2017 Jun 26;24(3):281-286. Epub 2017 Jan 26.

Department of Trauma and Orthopedic Surgery 1; Westpfalz-Klinikum, Teaching Hospital of the Medical Faculty Mannheim, University of Heidelberg and of the University of Mainz, Hellmut-Hartert-Str.1, Kaiserslautern, Germany.

Purpose: Conventional radiography is frequently performed in pediatric patients in whom fractures and dislocations are suspected. However, until now, the rate of positive findings of the most commonly performed radiographic examinations in pediatric patients is unknown. The aim of this study was to evaluate the number of positive findings in the 20 most frequently requested standard radiographic examinations in pediatric patients in a level 1 trauma center systematically. Read More

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http://dx.doi.org/10.1007/s10140-017-1482-xDOI Listing
June 2017
22 Reads

Comparison of total costs between internal fixation and hemiarthroplasty for displaced femoral neck fractures.

J Orthop Sci 2017 Jan 29;22(1):75-80. Epub 2016 Sep 29.

Department of Orthopedics and Traumatology, Beijing Jishuitan Hospital, Beijing 100035, China.

Background: There is very little information on the costs of different surgeries for displaced femoral neck fractures. This study aimed to compare the costs between internal fixation and hemiarthroplasty (HA) in the treatment of displaced femoral neck fracture.

Method: A total of 142 patients aged 65 years or older who had been randomized into internal fixation group (n = 70) or HA group (n = 72) were followed for 2 years. Read More

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http://dx.doi.org/10.1016/j.jos.2016.08.015DOI Listing
January 2017
34 Reads
1.010 Impact Factor

[Early and one-stage posterior-anterior surgery for fresh and severe lower cervical spine fracture and dislocation].

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2016 Aug;41(8):838-45

Department of Spine Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.

Objective: To explore the clinical value of early and one-stage posterior laminectomy decompression, fracture reconstruction and lateral mess screw fixation combined with anterior cervical corpectomy or discectomy for the treatment of fresh and severe lower cervical spine fracture and dislocation.


Methods: A total of 156 consecutive cases of severe fracture and dislocation of lower cervical spine were reviewed from January 2008 to January 2015. Skull traction was installed when the patients were enrolled in the hospital, so the operation was performed as early as possible. Read More

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http://dx.doi.org/10.11817/j.issn.1672-7347.2016.08.011DOI Listing
August 2016
11 Reads

Dorsal open reduction with pedicle screw rod internal fixation for lower cervical spine dislocation: A retrospective analysis of 12 cases.

Neurochirurgie 2016 Oct 31;62(5):245-250. Epub 2016 Aug 31.

Department of orthopedic surgery, Peking university Third Hospital, 100191 Beijing, China.

Background: Lower cervical spine dislocation remains a surgical challenge.

Methods: Twelve patients with lower cervical dislocation due to articular process injury underwent dorsal open reduction and manual pedicle screw rod fixation. Patients with cervical spinal cord injury received simultaneous open door expansive laminoplasty. Read More

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http://dx.doi.org/10.1016/j.neuchi.2016.03.002DOI Listing
October 2016
10 Reads

Impact responses of the cervical spine: A computational study of the effects of muscle activity, torso constraint, and pre-flexion.

J Biomech 2016 Feb 14;49(4):558-64. Epub 2016 Jan 14.

Duke University, Department of Biomedical Engineering and Division of Orthopaedic Surgery, Box 90281 Durham, NC 27708-0281, United States.

Cervical spine injuries continue to be a costly societal problem. Future advancements in injury prevention depend on improved physical and computational models, which are predicated on a better understanding of the neck response during dynamic loading. Previous studies have shown that the tolerance of the neck is dependent on its initial position and its buckling behavior. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2016.01.006DOI Listing
February 2016
49 Reads

Posterior cervical spinal fusion in a 3-week-old infant with a severe subaxial distraction injury.

J Neurosurg Pediatr 2016 Mar 27;17(3):353-6. Epub 2015 Nov 27.

Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia;

Unstable spinal injuries in the neonate pose particular challenges in the clinical and radiographic assessment as well as the surgical stabilization of the spine. In this report, the authors present the unfortunate case of a 3-week-old infant who suffered a severe subaxial cervical fracture dislocation with spinal cord injury that occurred as a result of nonaccidental trauma. Imaging demonstrated severe distraction at C5-6 and near-complete spinal cord transection resulting in quadri-paresis. Read More

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http://dx.doi.org/10.3171/2015.3.PEDS13568DOI Listing
March 2016
14 Reads

[Application of modified traction arch of skull in skull traction].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2014 Dec;28(12):1474-8

Objective: To investigate the feasibility and effectiveness of the modified traction arch of skull (crossbar traction arch) for skull traction in treating cervical spine injury by comparing with traditional traction arch of skull.

Methods: Between June 2009 and June 2013, 90 patients with cervical vertebrae fractures or dislocation were treated with modified skull traction surgery (trial group, n=45) and traditional skull traction surgery (control group, n=45). There was no significant difference in gender, age, injury types, injury level, the interval between injury and admission, and Frankel grading of spinal injury between 2 groups (P > 0. Read More

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December 2014
7 Reads

Radiological studies on the best entry point and trajectory of anterior cervical pedicle screw in the lower cervical spine.

Eur Spine J 2014 Oct 24;23(10):2175-81. Epub 2014 Jul 24.

Department of Orthopedics, The Sixth Hospital of Ningbo, 1059 Zhongshan East Road, Ningbo, 315040, People's Republic of China.

Objective: To explore the best entry point and trajectory of anterior cervical transpedicular screws in the lower cervical spine by radiological studies, and provide reference for clinical application.

Methods: Fifty patients were scanned by computed tomography and confirmed no obvious defect of the cervical spine. On horizontal axis, camber angle (α) and axial length (AL) were measured from C3 to C7. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs00586-014-34
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http://link.springer.com/10.1007/s00586-014-3473-x
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http://dx.doi.org/10.1007/s00586-014-3473-xDOI Listing
October 2014
43 Reads

[Trampoline-related injuries in children: an increasing problem].

Sportverletz Sportschaden 2014 Jun 25;28(2):69-74. Epub 2014 Jun 25.

Introduction: The sales of recreational trampolines have increased during the past few years. Severe injuries are associated in part with trampoline sport in the domestic setting. Therefore, this study was conducted to confirm the hypothesis of an increase in trampoline-related injuries in conjunction with the increasing sales of recreational trampolines and to find out what kind of injuries are most frequent in this context. Read More

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http://dx.doi.org/10.1055/s-0034-1366544DOI Listing
June 2014
37 Reads

Delayed presentation of a cervical spine fracture dislocation with posterior ligamentous disruption in a gymnast.

Am J Orthop (Belle Mead NJ) 2014 Jun;43(6):272-4

University of Alabama at Birmingham Sports Medicine, Birmingham, AL.

Cervical spine injuries are uncommon but potentially devastating athletic injuries. We report a case of a girl gymnast who presented with a cervical spine fracture dislocation with posterior ligamentous disruption several days after injury. To our knowledge, this type of presentation with such severity of injury in a gymnast has not been reported in the literature. Read More

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June 2014
29 Reads

[Clinical application of anterior transpediclar screw reconstruction in treating lower cervical spine fracture and dislocation].

Zhongguo Gu Shang 2014 Feb;27(2):106-11

Objective: To investigate the clinical effects of anterior transpediclar screw (ATPS) fixation in treating lower cervical spine fracture and dislocation.

Methods: From January 2009 to December 2011, 18 patients with lower cervical spine fracture and dislocation were treated with ATPS technique, including 12 males and 6 females, aged from 17 to 47 years old with an average of 38.2 years. Read More

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February 2014
14 Reads

[Anterior decompression and fusion with n-HA/PA66 cage for the treatment of lower cervical fracture and dislocation].

Zhongguo Gu Shang 2014 Feb;27(2):92-6

Objective: To explore the clinical effects of anterior decompression and fusion with a nano-hydroxyapatite/ polyamide 66 (n-HA/PA66) cage in treating lower cervical fracture and dislocation.

Methods: From January 2008 to December 2010, the clinical data of 42 patients with lower cervical fracture and dislocation were retrospectively analyzed. There were 29 males and 13 females aged from 20 to 65 years old. Read More

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February 2014
28 Reads

Head and neck injury patterns in fatal falls: epidemiologic and biomechanical considerations.

J Forensic Leg Med 2014 Jan 30;21:64-70. Epub 2013 Aug 30.

Department of Public Health & Preventive Medicine, Oregon Health & Science University, Portland, OR, USA.

Fatal falls often involve a head impact, which are in turn associated with a fracture of the skull or cervical spine. Prior authors have noted that the degree of inversion of the victim at the time of impact is an important predictor of the distribution of skull fractures, with skull base fractures more common than skull vault fractures in falls with a high degree of inversion. The majority of fatal fall publications have focused on skull fractures, and no research has described the association between fall circumstances and the distribution of fractures in the skull and neck. Read More

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http://dx.doi.org/10.1016/j.jflm.2013.08.005DOI Listing
January 2014
21 Reads

Immediate reduction under general anesthesia and single-staged anteroposterior spinal reconstruction for fracture-dislocation of lower cervical spine.

J Spinal Disord Tech 2015 Feb;28(1):E1-8

*Department of Orthopedics, Xuanwu Hospital, Capital Medical University †Department of Nephrology, General Hospital, Beijing Military Region, Beijing, China.

Fracture-dislocation of the lower cervical spine is a severe traumatic lesion, most frequently resulting in tetraplegia. Treatment is usually painful and time consuming. This retrospective study evaluated the clinical curative effect of immediate reduction under general anesthesia and single-staged anteroposterior spinal reconstruction for fracture-dislocation of the lower cervical spine. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000065DOI Listing
February 2015
10 Reads

Fracture of the Atlas through a Synchondrosis of Anterior Arch.

Case Rep Radiol 2013 14;2013:934135. Epub 2013 Nov 14.

Department of Radiology, Hacettepe University School of Medicine, Sihhiye, 06100 Ankara, Turkey.

Cervical fractures are rare in paediatric population. In younger children, cervical fractures usually occur above the level of C4; whereas in older population, fractures or dislocations more commonly involve the lower cervical spine. Greater elasticity of intervertebral ligaments and also the spinal vertebrae explains why cervical fractures in paediatric ages are rare. Read More

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http://dx.doi.org/10.1155/2013/934135DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847957PMC
December 2013
15 Reads

Posterior stabilization of cervical spine injuries using the Roy-Camille plates: a long-term follow-up.

Eur J Orthop Surg Traumatol 2014 Jul 10;24 Suppl 1:S125-30. Epub 2013 Dec 10.

Professor Emeritus, Orthopaedic Department, Athens University, Athens, Greece.

Aim: Posterior cervical spine fixation has undergone tremendous advancement in recent years. The purpose of this study is to present our experience with the Roy-Camille instrumentation for posterior cervical stabilization after injury in a long-term follow-up.

Patients And Methods: From 1985 to 1995, 76 patients with a lower cervical spine traumatic lesion were treated in a single institution by posterior plate stabilization using the Roy-Camille plates (R-C plates). Read More

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http://dx.doi.org/10.1007/s00590-013-1376-xDOI Listing
July 2014
17 Reads

Fractures of the cervical spine.

Clinics (Sao Paulo) 2013 Nov;68(11):1455-61

Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São PauloSP, Brazil.

Objectives: The aim of this study was to review the literature on cervical spine fractures.

Methods: The literature on the diagnosis, classification, and treatment of lower and upper cervical fractures and dislocations was reviewed.

Results: Fractures of the cervical spine may be present in polytraumatized patients and should be suspected in patients complaining of neck pain. Read More

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http://dx.doi.org/10.6061/clinics/2013(11)12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812556PMC
November 2013
8 Reads

[Dislocation of the atlantoaxial joint].

Unfallchirurg 2014 Jun;117(6):568-71

Klinik für Unfallchirurgie und Orthopädie, Unfallkrankenhaus, Warener Straße 7, 12683, Berlin, Deutschland.

Injuries of the cervical spine in adolescents only occur in 0.2 % of cases. Due to the mismatch of size of the head in comparison to the relatively weakly developed neck muscles at this age, the cranial section is more vulnerable to injuries of any kind compared to the lower sections of the cervical spine. Read More

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http://dx.doi.org/10.1007/s00113-013-2430-1DOI Listing
June 2014
11 Reads

Vertebral artery injury associated with blunt cervical spine trauma: a multivariate regression analysis.

Spine (Phila Pa 1976) 2013 Jul;38(16):1352-61

Hospital for Special Surgery, The Spine Care Institute, Spine & Scoliosis Surgery, New York, NY 10021, USA.

Study Design: Retrospective analysis of prospective registry data.

Objective: To determine the patient characteristics, risk factors, and fracture patterns associated with vertebral artery injury (VAI) in patients with blunt cervical spine injury.

Summary Of Background Data: VAI associated with cervical spine trauma has the potential for catastrophical clinical sequelae. Read More

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http://dx.doi.org/10.1097/BRS.0b013e318294bacbDOI Listing
July 2013
43 Reads

[Unstable injuries to the upper cervical spine in children and adolescents].

Acta Chir Orthop Traumatol Cech 2013 ;80(2):106-13

Spondylochirurgické oddělení FN Motol, Praha.

Purpose Of The Study: Injuries to the upper cervical spine in children are rare and account for 0.6 to 9.5% of all cervical spine injuries. Read More

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August 2013
40 Reads

Pattern of injuries to neck structures in hanging-an autopsy study.

Am J Forensic Med Pathol 2012 Dec;33(4):395-9

Medical College, Thiruvananthapuram, Kerala, India.

One hundred eighty-nine cases of known dead bodies brought for medicolegal autopsy with alleged history of hanging were studied at the Department of Forensic Medicine, State Medico Legal Institute, Government Medical College, Thiruvananthapuram, Kerala, India. All the findings noticed during detailed external examination and flap dissection of the neck were analyzed with special emphasis on correlation between the external and internal injuries on neck.There was a preponderance of males in the study group (70. Read More

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http://dx.doi.org/10.1097/PAF.0b013e3182662761DOI Listing
December 2012
10 Reads

[Application of n-HA/PA66 composite artificial vertebral body in anterior reconstruction of lower cervical spine fracture and dislocation].

Zhonghua Wai Ke Za Zhi 2012 Apr;50(4):338-41

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, China.

Objective: To initially evaluate the application of artificial vertebra of n-HA/PA66 in anterior reconstruction of lower cervical spine fracture and dislocation.

Methods: In this study, 84 patients with lower cervical spine fracture and dislocation received anterior cervical discectomy, spinal canal decompression or subtotal corpectomy, spinal canal decompression and reconstruction by n-HA/PA66 composite artificial vertebral body combined with plate instrumentation. Neurological function was followed up by improvement rate of Frankel and situations of the supporting body was observed by X ray and 3D-CT in 3, 12, 24 months postoperatively. Read More

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April 2012
25 Reads

Reduction and fixation of cranial cervical fracture/luxations using screws and polymethylmethacrylate (PMMA) cement: a distraction technique applied to the base of the skull in thirteen dogs.

Vet Surg 2012 Feb 20;41(2):235-47. Epub 2011 Dec 20.

Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, USA.

Objective: To (1) describe a surgical distraction technique for C1-2 cervical fractures/luxations or atlantoaxial (AA) subluxations using the base of the skull (basion of the foramen magnum) and either C2-3 or C3-4 for the purchase points of intraoperative axial distraction and (2) report outcome in 13 dogs.

Study Design: Retrospective case series.

Animals: Dogs (n = 13). Read More

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http://dx.doi.org/10.1111/j.1532-950X.2011.00916.xDOI Listing
February 2012
15 Reads

Spinal injury patterns among skiers and snowboarders.

Neurosurg Focus 2011 Nov;31(5):E8

College of Medicine, University of Vermont, Burlington, Vermont 05401, USA.

Object: Skiing and snowboarding injuries have increased with the popularity of these sports. Spinal cord injuries (SCIs) are a rare but serious event, and a major cause of morbidity and mortality for skiers and snowboarders. The purpose of this study is to characterize the patterns of SCI in skiers and snowboarders. Read More

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http://dx.doi.org/10.3171/2011.8.FOCUS11179DOI Listing
November 2011
8 Reads

Fracture and contralateral dislocation of the twin facet joints of the lower cervical spine.

Eur Spine J 2012 Feb 10;21(2):282-8. Epub 2011 Aug 10.

Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.

Purpose: The combination of a facet fracture and a contralateral facet dislocation at the same intervertebral level of the cervical spine (a fracture and contralateral dislocation of the twin facet joints) has not been described in detail. The aims of this study are to report a series of 11 patients with this injury, to clarify the clinical features and to discuss its pathomechanism.

Methods: Among 251 patients with lower cervical spine fractures and/or dislocations surgically treated, 11 (9 males and 2 females, averaged age, 52 years) had this kind of injury. Read More

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http://dx.doi.org/10.1007/s00586-011-1956-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3265599PMC
February 2012
12 Reads

[Clinical analysis of one-stage posterior-anterior operative approach in treating lower cervical spine fracture and dislocation].

Zhongguo Gu Shang 2010 Dec;23(12):938-41

Department of Spinal Surgery, Ningbo No. 6 Hospital, Zhejiang, China.

Objective: To investigate the clinical effects of one-stage posterior-anterior decompression and internal fixation for the treatment of the severe fractures and dislocations combined with the spinal cord injuries of the lower cervical spine.

Methods: From August 2005 to August 2009, 48 patients (male 28 and female 20, aged from 28 to 62 years with a mean of 39.6 years) with severe fractures and dislocations of lower cervical spine were treated by reduction and internal fixation with one-stage combined cervical anterior plating and posterior lateral mass screws and rod or plate systems. Read More

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December 2010
16 Reads

[Who is who revisited: spinal trauma].

Authors:
G Schueller

Radiologe 2010 Dec;50(12):1084-95

Klinik für Radiodiagnostik, Medizinische Universität Wien.

The ideal classification of spinal trauma does not yet exist, primarily because the combination of morphological, biomechanical and clinical parameters in one single nomenclature has proved impossible. For radiologists and surgeons who work closely together, only a few classifications of injury patterns have been shown to be useful enough to provide rapid and stable therapy decisions. Many classifications are too complex to be practical for day-to-day practice, such as the Magerl classification, which has been adopted by the Arbeitsgemeinschaft für Osteosynthesefragen (AO). Read More

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http://link.springer.com/10.1007/s00117-010-2030-9
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http://dx.doi.org/10.1007/s00117-010-2030-9DOI Listing
December 2010
11 Reads

Management of fracture-dislocation of the lower cervical spine with the cervical pedicle screw system.

Ann R Coll Surg Engl 2010 Jul 19;92(5):406-10. Epub 2010 May 19.

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

Introduction: Usually, cervical pedicle screw fixation has been considered too risky for neurovascular structures. The purpose of this study was to investigate the method and efficacy of the cervical pedicle screw system for fracture-dislocation of the cervical spine because of its rigid fixation.

Patients And Methods: A prospective study was conducted involving 48 patients with cervical spine fracture-dislocation who underwent cervical pedicle screw fixation surgery between January 2003 and January 2007. Read More

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http://dx.doi.org/10.1308/003588410x12628812459616aDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180314PMC
July 2010
30 Reads

Rugby and cervical spine injuries - has anything changed? A 5-year review in the Western Cape.

S Afr Med J 2010 Mar 30;100(4):235-8. Epub 2010 Mar 30.

Division of Orthopaedic Surgery, Univeristy of Cape Town, South Africa.

Objectives: To review the incidence of all rugby-associated cervical spine injuries in the Western Cape and identify risk factors.

Methods: We reviewed case notes and X-rays of 27 male patients with rugby-related cervical spine injuries treated in the acute spinal injury (ASCI) unit at Groote Schuur Hospital from April 2003 to June 2008, and followed up with telephone interviews. Patient profile, rugby profile, subsequent injury management from the field to definitive surgery and neurological status on admission, discharge and follow-up using the American Spinal Injury Association (ASIA) classification were assessed. Read More

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http://dx.doi.org/10.7196/samj.3489DOI Listing
March 2010
8 Reads

Recreational surfing injuries in Cornwall, United Kingdom.

Wilderness Environ Med 2009 ;20(4):335-8

Department of Clinical Radiology, Royal Cornwall Hospital, Treliske, Truro, Cornwall, UK.

Objective: To analyze the nature of surfing injuries in Cornwall in order to identify trends and inform clinical management.

Methods: The details of patients presenting (with injuries sustained while surfboard/bodyboard riding) to the Emergency Department (ED) of the Royal Cornwall Hospital, Truro (UK), from September 2004 until August 2006 were recorded prospectively. The notes were then retrospectively reviewed by a senior ED physician. Read More

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http://www.bioone.org/doi/abs/10.1580/1080-6032-020.004.0335
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http://dx.doi.org/10.1580/1080-6032-020.004.0335DOI Listing
March 2010
51 Reads

Cervical cord injury in patients with ankylosed spines: progressive paraplegia in two patients after posterior fusion without decompression.

Spine (Phila Pa 1976) 2009 Nov;34(23):E861-3

Department of Orthopaedic Surgery, Kobe Red Cross Hospital, Hyogo, Japan.

Study Design: Case report and clinical discussion.

Objective: To describe technical pitfall to treat 2 cervical cord injuries, including dislocations in patients with ankylosed spine due to diffuse idiopathic skeletal hyperostosis (DISH) or ossification of the posterior longitudinal ligament (OPLL).

Summary Of Background Data: DISH and OPLL are disease processes similar in pathology, which can lead to unexpected fractures due to low-energy trauma. Read More

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http://dx.doi.org/10.1097/BRS.0b013e3181bb89fcDOI Listing
November 2009
14 Reads