206 results match your criteria Lower Cervical Spine Fractures and Dislocations


Geriatric clinical screening tool for cervical spine injury after ground-level falls.

Emerg Med J 2021 Jun 9. Epub 2021 Jun 9.

Department of Surgery, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.

Background: A consistent approach to cervical spine injury (CSI) clearance for patients 65 and older remains a challenge. Clinical clearance algorithms like the National Emergency X-Radiography Utilisation Study (NEXUS) criteria have variable accuracy and the Canadian C-spine rule excludes older patients. Routine CT of the cervical spine is performed to rule out CSI but at an increased cost and low yield. Read More

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Anterior Cervical Reduction Decompression Fusion With Plating for Management of Traumatic Subaxial Cervical Spine Dislocations.

Global Spine J 2021 Apr 12;11(3):312-320. Epub 2020 Feb 12.

Department of Orthopedics and Trauma, 68797Assiut University School of Medicine, Assiut, Egypt.

Study Design: Prospective case series.

Objective: To evaluate the efficacy of anterior-only approach, for treatment of type C F4 (AO classification) traumatic subaxial cervical spine injuries.

Methods: Patients with type C F4 traumatic cervical injuries presenting to a tertiary center between June 2017 and July 2018 were included. Read More

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Management of Neglected Post-traumatic Bilateral Facet Dislocation of Sub-axial Cervical Spine: A Case Series.

JNMA J Nepal Med Assoc 2020 Jun 30;58(226):427-429. Epub 2020 Jun 30.

Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal.

Neglected bilateral facet dislocation of the lower cervical spine is a rare condition and found mostly in developing countries like Nepal. Delayed presentation makes treatment more challenging concerning decompression, reduction, neurological recovery, and overall outcome. We managed three cases of bilateral facet dislocations of the fifth-sixth-seventh cervical vertebra level presented after three months of injury. Read More

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Comparison of anterior and posterior approaches for treatment of traumatic cervical dislocation combined with spinal cord injury: Minimum 10-year follow-up.

Sci Rep 2020 06 25;10(1):10346. Epub 2020 Jun 25.

Operation-room, The First People' s Hospital of Lianyungang, Xuzhou Academy of Medical Sciences, Lianyungang, China.

Anterior reduction and interbody fusion fixation has not been compared directly with posterior reduction and short-segmental pedicle screw fixation for lower cervical dislocation, and so consensus is lacking as to which is the optimal method. The purpose of this paper is to compare long-term outcomes of the anterior versus posterior approach for traumatic cervical dislocation with spinal cord injury. One hundred and fifty-nine patients could be followed for more than 10 years (follow-up rate 84. Read More

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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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Traumatic Atlanto-occipital Dislocation: Analysis of 15 Survival Cases With Emphasis on Associated Upper Cervical Spine Injuries.

Spine (Phila Pa 1976) 2020 Jul;45(13):884-894

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

Study Design: Retrospective case analyses.

Objective: The aim of this study was to investigate the incidence and characteristics of associated upper cervical spine injuries in 15 survival cases of traumatic atlanto-occipital dislocation (AOD).

Summary Of Background Data: Traumatic AOD is a rare and generally fatal injury. Read More

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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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January 2020

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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Efficacy of a Novel Mechanical Cervical Dislocation Device in Comparison to Manual Cervical Dislocation in Layer Chickens.

Animals (Basel) 2019 Jul 1;9(7). Epub 2019 Jul 1.

Department of Animal Biosciences, University of Guelph, Guelph, ON N1G 2W1, Canada.

The main objective of this study was to assess the efficacy of mechanical cervical dislocation using the Koechner Euthanasia Device Model C (KED) in comparison to manual cervical dislocation in layer chickens. Laying hens and/or roosters in three different age groups (12, 27-29, and 65-70 weeks old) were randomly assigned to one of three experimental groups: manual cervical dislocation in conscious birds (CD), manual cervical dislocation in anesthetized birds (aCD), or mechanical cervical dislocation by KED in anesthetized birds (aMCD). Anesthetized birds received an intramuscular dose of 0. Read More

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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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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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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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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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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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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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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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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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November 2017

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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December 2017

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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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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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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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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February 2017

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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[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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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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October 2016

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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February 2016

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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[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