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Zhongguo Gu Shang 2018 Oct;31(10):907-911

Department of Anesthesiology, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China.

Objective: To explore clinical effects of ultrasound guided popliteal sciatic nerve combined saphenous nerve block in patients with anterior foot orthopedics.

Methods: From January 2017 to October 2017, 60 hallux valgus patients with metatarsophalangeal joint dislocation were randomly divided into experimental and control group according to random number table. Thirty patients in experimental group were treated by ultrasound guided popliteal sciatic nerve combined saphenous nerve block, including 13 males and 17 females, aged 31 to 76 years old with an average of (59. Read More

Medicine (Baltimore) 2018 Oct;97(41):e12538

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Orthopedic Research Institution of Hebei Province, Key Laboratory of Biomechanics of Hebei Province.

Rationale: Traumatic hip dislocation is a common joint dislocation. Delayed reduction has been shown to increase the risk of avascular necrosis of the femoral head. Most of the traditional methods must be performed under general anesthesia or spinal anesthesia to relax hip muscles. Read More

Clin Orthop Relat Res 2018 May 30. Epub 2018 May 30.

G. Grammatopoulos, University College London Hospital, London, UK W. Gofton, Z. Jibri, M. Coyle, J. Dobransky, C. Kreviazuk, P. R. Kim, P. E. Beaulé, The Ottawa Hospital, Ottawa, Ontario, Canada.

Background: Many patients undergo both THA and spinal arthrodesis, and those patients may not fare as well as those who undergo one procedure but not the other. The mechanisms of how spinal arthrodesis affects patient function after THA remain unclear.

Questions/purposes: The aims of our study were to (1) determine how patient-reported outcome measures (PROMs), including the Oxford hip score as well as dislocations and complications compare after THA between patients with and without spinal arthrodesis; (2) characterize sagittal pelvic changes in these patients that occur when moving between different functional positions and test for differences between patients with and without spinal arthrodesis; and (3) assess whether differences in sagittal pelvic dynamics are associated with PROMs, complications, and dislocations after THA. Read More

Bone Joint J 2018 Oct;100-B(10):1297-1302

Department of Orthopaedic Surgery, New York University Langone Orthopedic Hospital, New York, New York, USA.

Aims: The routine use of dual-mobility (DM) acetabular components in total hip arthroplasty (THA) may not be cost-effective, but an increasing number of patients undergoing THA have a coexisting spinal disorder, which increases the risk of postoperative instability, and these patients may benefit from DM articulations. This study seeks to examine the cost-effectiveness of DM components as an alternative to standard articulations in these patients.

Patients And Methods: A decision analysis model was used to evaluate the cost-effectiveness of using DM components in patients who would be at high risk for dislocation within one year of THA. Read More

Spinal Cord Ser Cases 2018 21;4:86. Epub 2018 Sep 21.

National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, UK.

Study Design: Retrospective case series study.

Objective: To determine the success rate and neurological outcomes of rapid incremental closed traction reduction (RICTR) of cervical dislocations with spinal cord compression in the National Spinal Injuries Centre (NSIC), between June 2006 and December 2011.

Setting: Tertiary spinal injuries centre, Stoke Mandeville Hospital, UK. Read More

J Arthroplasty 2018 Dec 29;33(12):3768-3772. Epub 2018 Aug 29.

Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, IL.

Background: Although a history of lumbar spine fusion (LSF) is associated with increased dislocation risk following total hip arthroplasty (THA), the effect of LSF following THA is not well described. This study sought to describe the dislocation-free survival experience of patients with THA undergoing LSF, compare this to similar patients not undergoing LSF, and assess factors associated with dislocation risk following LSF.

Methods: Center for Medicare Service billing data from 2005 to 2014 was analyzed utilizing the PearlDiver platform. Read More

Clin Spine Surg 2018 Sep 21. Epub 2018 Sep 21.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Study Design: Retrospective Cohort.

Summary Of Background Data: Studies have shown that lumbar fusion procedures are associated with an increased risk of total hip arthroplasty (THA) dislocation. Some have speculated that the increased risk of dislocation is caused by mispositioning of the acetabular component because of spinal sagittal imbalance. Read More

Clin Interv Aging 2018 10;13:1639-1645. Epub 2018 Sep 10.

Department of Orthopaedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, People's Republic of China,

Purpose: Several authors have reported the degree of total blood loss (TBL) following hemiarthroplasty for displaced femoral neck fracture; however, the research specifically investigating on hidden blood loss (HBL) after hip hemiarthroplasty is still lacking. The purpose of this study is to evaluate the HBL in patients who underwent hip hemiarthroplasty for displaced femoral neck fractures and to analyze its risk factors.

Patients And Methods: From January 2015 to December 2016, 212 patients (57 males and 155 females) with displaced femoral neck fracture undergoing hip hemiarthroplasty were included in this study. Read More

Medicine (Baltimore) 2018 Sep;97(38):e12483

Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul.

Rationale: Traumatic bilateral facet dislocation in the lumbar (L) spine has rarely been reported. All reported cases were presented with acute facet dislocation. However, we present the first case of delayed bilateral facet dislocation at L4-5. Read More

World Neurosurg 2018 Nov 31;119:103-107. Epub 2018 Jul 31.

Department of Neurological Surgery, University of Florida College of Medicine, Jacksonville, Florida, USA. Electronic address:

Background: Facet dislocations, or jumped facets, are part of a spectrum of flexion-distraction spine injuries. Bilateral and unilateral facet dislocations are commonly seen in the cervical spine. Traumatic jumped facets in the lumbar spine are rare injuries, and most involve the lumbosacral junction. Read More

Clinics (Sao Paulo) 2018 07 19;73:e259. Epub 2018 Jul 19.

Department of Spinal Surgery, Guizhou Orthopedic Hospital, Guiyang, 550002, China.

Objectives: To investigate the primary clinical value of atlantoaxial pedicle screw placement assisted by a modified 3D-printed navigation template.

Methods: We retrospectively analyzed the cases of 17 patients treated from June 2015 to September 2016 with atlantoaxial pedicle screw placement assisted by a modified 3D-printed navigation template. All procedures were performed prior to surgery, including thin-slice CT scanning, medical image sampling and computerized 3D modeling of the atlantoaxial joint, optimal pedicle screw trajectory determination, and anatomical trait acquisition for the atlantoaxial pedicle, spinous process of the axis, vertebral lamina and posterior lateral mass, and design of a reverse template. Read More

World Neurosurg 2018 Oct 19;118:e925-e932. Epub 2018 Jul 19.

Department of Neurosurgery, Sahaydri Superspeciality Hospital, Nashik, Maharashtra, India.

Objective: Deliberate C2 nerve root sectioning and its preservation have been described during posterior fusion for atlantoaxial dislocation (AAD). However, the associated outcomes have been less studied, especially in congenital AAD. Our objective was to study the clinical outcomes after C2 nerve root sectioning and the feasibility of C2 preservation in these patients. Read More

Spine (Phila Pa 1976) 2018 Jul 16. Epub 2018 Jul 16.

Schön Klinik München Harlaching, Spine Center, Munich, Germany.

Study Design: Non-randomized prospective and single center clinical trial of the ProDisc Vivo prosthesis.

Objective: Investigate the clinical and radiological results of a refined cTDR - the ProDisc Vivo - with two years of follow up (FU). The incidence of implant-related complications was recorded as a secondary outcome variable. Read More

J Neurol Surg A Cent Eur Neurosurg 2018 Nov 2;79(6):533-535. Epub 2018 Jul 2.

Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou, China.

Vertebral arteriovenous fistula (AVF), a complication of a vertebral artery injury (VAI), is a rare but serious complication of upper cervical spine fixation surgery. We report a case of a 59-year-old female patient who had a vertebral AVF following transpedicular occipitocervical fixation surgery. Endovascular embolization of the AVF was successfully performed using ethylene vinyl alcohol. Read More

World Neurosurg 2018 Sep 21;117:e612-e630. Epub 2018 Jun 21.

Department of Neurosurgery, King George's Medical University, Lucknow, India.

Background: Craniovertebral junction diseases, although considered rare, are common in northern parts of India. This study was conducted to evaluate the clinico-radiologic and surgical outcome of patients with a minimum follow-up of 1 year. Our study also compared bony fusion among various techniques of posterior fusion. Read More

J Neurol Surg A Cent Eur Neurosurg 2018 Sep 11;79(5):416-423. Epub 2018 Jun 11.

Department of Neurological Surgery, University of Miami School of Medicine, Miami, Florida, United States.

Background And Study Objective:  Complex traumatic lumbar spine fractures are difficult to manage and typically occur in younger patients. Surgical immobilization for unstable fractures is an accepted treatment but can lead to future adjacent-level disease. Furthermore, large variations in fracture morphology create significant difficulties when attempting fixation. Read More

Rev Fac Cien Med Univ Nac Cordoba 2017 09 14;74(3):288-292. Epub 2017 Sep 14.

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Cervical spine injury is rare in children. It is seen primarily in those who sustain significant, severe blunt trauma, occurring in 1 to 2 percent of such cases. The interpretation of cervical spine radiographs and the clinical examination in children may be difficult. Read More

World Neurosurg 2018 Aug 2;116:e1144-e1152. Epub 2018 Jun 2.

Department of Neurosurgery, Cathay General Hospital, Taipei City, Taiwan; Department of Medicine, School of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan; Department of Mechanical Engineering, National Central University, Taoyuan County, Taiwan. Electronic address:

Objective: To assess accuracy and safety of self-developed customized guiding templates for cervical pedicle screw (CPS) insertion surgery.

Methods: From July 2016 to December 2017, 57 screws were implanted in 9 patients with the assistance of customized guiding templates. Customized guiding templates were manufactured from acrylonitrile-butadiene-styrene plastic material using a three-dimensional printer after establishing pedicle screw trajectories for each vertebra with the assistance of a virtual surgical planning software program, developed by our team, for the insertion of CPSs. Read More

J Orthop Surg Res 2018 May 29;13(1):126. Epub 2018 May 29.

Department of Spine Surgery, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, 050051, China.

Background: Distraction-flexion of the lower cervical spine is a severe traumatic lesion, frequently resulting in paralysis. The optimal surgical treatment is controversial. It has been a challenge for orthopedic surgeons to manage distraction-flexion injury in the lower cervical spine while avoiding the risk of iatrogenic damage. Read More

J Spinal Cord Med 2018 May 21:1-7. Epub 2018 May 21.

d Department of Orthopaedic Surgery and Neurosurgery at Thomas Jefferson University , Philadelphia , Pennsylvania , USA.

Context: It is well established that traumatic spinal dislocations (AO Type C injuries) should be surgically treated. However, no recent comparative study of surgical versus non-surgical management of type C injuries was found attesting the superiority of surgical treatment.

Objective: Due to the lack of information about the natural history of non-surgical management of type C injuries, we evaluated the outcome of historical conservative treatment of type C injuries. Read More

Neurochirurgie 2018 Sep 3;64(4):327-330. Epub 2018 May 3.

CHU de Strasbourg, hôpital de Hautepierre, service de neurochirurgie, 67200 Strasbourg, France.

Introduction: Grisel's syndrome consists in rotational subluxation of C1-C2 following ENT infection or surgery. There is no consensus on management. We present 2 cases requiring surgical treatment in our center. Read More

J Clin Neurosci 2018 Jul 3;53:247-249. Epub 2018 May 3.

Orthopaedic Department, Peking University Third Hospital, Beijing, China. Electronic address:

Klippel-Feil syndrome (KFS) is defined as congenital fusion of two or more cervical vertebrae resulting from a segmentation failure in the developing spine. According to Samartzis et al., the most commonly fused segments are found at C2/3 (74. Read More

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

J Womens Health (Larchmt) 2018 07 30;27(7):946-951. Epub 2018 Apr 30.

1 Department of Orthopedic Surgery, Rabin Medical Center , Beilinson Campus, Petah-Tikva, Israel .

Background: Spinal injury is common in trauma suffered by both men and women. A lesser degree of involvement of females with spinal trauma, or at least, the different nature of such injuries, has been suggested. It has been proposed that behavioral and structural characteristics may explain the differential type and severity of spinal injuries in women. Read More

World Neurosurg 2018 Jul 22;115:154-156. Epub 2018 Apr 22.

PGIMER, Neurosurgery, Chandigarh, India.

Background: The vertebral artery (VA) may have an anomalous course in patients with congenital atlantoaxial dislocation. In such cases, the artery crosses the C1-C2 joint posteriorly. These cases need thorough evaluation of the VA course to avoid its injury during posterior reduction and fusion of C1-C2. Read More

World Neurosurg 2018 Jul 17;115:105-109. Epub 2018 Apr 17.

LiuHuaQiao Hospital, Department of Orthopedics, Guangzhou, China.

Background: Posterior occipitocervical fusion surgery is a commonly used surgical method to treat various craniovertebral junction pathologies. Though it is an effective method, there also have been some reports about complications of occipitocervical fusion. However, there have been no reports about posterior fossa epidural hematomas after occipitocervical fusion. Read More

World Neurosurg 2018 Jul 17;115:e404-e421. Epub 2018 Apr 17.

Department of Spine Surgery, China-Japan Friendship Hospital, Beijing, China.

Background: Although C1-C2 pedicle screw techniques have been extensively reported in pediatric series, reports on their use have examined only small series with short follow-up periods. The aim of this study was to report pediatric patients with atlantoaxial rotatory dislocation treated with these techniques with a minimum 5-year follow-up.

Methods: Retrospective review was performed of 27 pediatric patients with atlantoaxial rotatory dislocation who underwent C1-C2 pedicle screw fixation between 2004 and 2012. Read More

Medicine (Baltimore) 2018 Apr;97(15):e0441

Department of Spine Surgery.

Rationale: Rod breakage after occipitocervical fusion (OCF) has never been described in a patient who has undergone surgery for basilar invagination (BI) and atlantoaxial dislocation (AAD). Here, we present an unusual but significant case of revision surgery to correct this complication.

Patient Concerns: A 32-year-old female presented with neck pain, unstable leg motion in walking, and also BI with AAD. Read More

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

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

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

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

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

PLoS One 2018 6;13(4):e0195215. Epub 2018 Apr 6.

BG Trauma Center Ludwigshafen, Department of Trauma Surgery and Orthopaedics, Ludwigshafen, Germany.

Background: Unstable conditions of the craniocervical junction such as atlanto-occipital dislocation (AOD) or atlanto-axial instability (AAI) are severe injuries with a high risk of tetraplegia or death. Immobilization by a cervical collar to protect the patient from secondary damage is a standard procedure in trauma patients. If the application of a cervical collar to a patient with an unstable craniocervical condition may cause segmental motion and secondary injury to the spinal cord is unknown. Read More

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

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

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

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

Traffic Inj Prev 2018 02;19(sup1):S44-S49

c Department of Neurosurgery , Medical College of Wisconsin , Milwaukee , Wisconsin.

Objective: The research objective was to conduct an initial analysis of non-human primate (NHP) data from frontal and rear impact events archived in the Biodynamics Data Resource (BDR) records of the Naval Biodynamics Laboratory (NBDL). These rare data, collected between 1973 and 1989, will inform the safety community of upper-end tolerance limits of NHP and may be related to severe crash scenarios.

Methods: Data from frontal and rear acceleration tests to 93 macaque NHP were examined. Read More

J Med Case Rep 2018 Mar 21;12(1):74. Epub 2018 Mar 21.

Department of Orthopedics, General Hospital of Jinan Military Command, Jinan, 250031, China.

Background: Skeletal and soft tissue damage are often associated with unilateral facet dislocations, which undoubtedly lead to instability of the spine and further increase difficulties in cervical reduction. This type of irreducible facet dislocation is usually accompanied with potential catastrophic consequences including neurological deficit and severe disability. Therefore, a consistent and evidence-based treatment plan is imperative. Read More

World Neurosurg 2018 Jun 15;114:375-380. Epub 2018 Mar 15.

Department of Neurosurgery, Preah Kossamak Hospital, Phnom Penh, Cambodia; Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.

Objective: In recent years, delivery of cost-effective "essential neurosurgery" in resource-limited communities has been recognized as an indispensable part of health care and a global health priority. The aim of this study was to review outcomes from operative management of spine trauma at a resource-limited government hospital in Phnom Penh, Cambodia, and to provide an epidemiologic report to guide prevention programs.

Methods: A retrospective review of a prospective neurosurgical database was performed to identify risk factors for spine trauma and severe spinal cord injury (American Spinal Injury Association A or American Spinal Injury Association B) and to evaluate the cost-effectiveness of surgery for patients treated at Preah Kossamak Hospital for subaxial and thoracolumbar spine trauma from 2013 to 2016. Read More

World Neurosurg 2018 Jun 13;114:e532-e545. Epub 2018 Mar 13.

Russian Ilizarov Scientific Center, Kurgan, Russia.

Objective: To analyze clinical and radiologic features of pathologic atlantoaxial displacement (PAAD) in pediatric patients and to compose a treatment algorithm for anomaly-related PAAD.

Background: Criteria of different types of PAAD and treatment algorithms have been widely reported in the literature but are difficult to apply to patients with odontoid abnormalities, C2-C3 block, spina bifida C1, and children.

Methods: We evaluated results of treatment of 29 pediatric patients with PAAD caused by congenital anomalies of the craniovertebral junction (CVJ), treated in Ilizarov Center in 2009-2017, including 20 patients with atlantoaxial displacement (AAD) and 9 patients with atlantoaxial rotatory fixation. Read More

Neurosurgery 2018 Mar 14. Epub 2018 Mar 14.

Department of Neurological Surgery and the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, Florida.

Background: Cervical facet dislocations are among the most common traumatic spinal injuries. Posterior, anterior, and combined surgical approaches have been described and are widely debated.

Objective: To demonstrate efficacy in anterior-only surgical management for subaxial cervical facet dislocations. Read More

World Neurosurg 2018 Jun 12;114:94-98. Epub 2018 Mar 12.

Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddy Palem, Nellore, Andhra Pradesh, India.

Background: Aberrant medial retropharyngeal prevertebral course of the internal carotid arteries (ICAs) is extremely uncommon. In oropharyngeal surgeries, like transoral odontoidectomy (TOO), this unrecognized aberrant retropharyngeal course of ICAs can result in devastating complications secondary to inadvertent injury of ICAs. We describe this aberrant course of ICAs in a patient with a craniovertebral junction (CVJ) anomaly with a dysmorphic C1 lateral mass on one side and discuss in detail various management issues in this complex case. Read More

Zh Vopr Neirokhir Im N N Burdenko 2018 ;82(1):33-40

Sklifosovsky Research Institute of Emergency Care, B. Sukharevskaya Sq., 3, Moscow, Russia, 129090.

Compression of the caudal medulla oblongata and ventral portions of the spinal cord is the most dangerous complication of atlanto-axial dislocation (AAD).

Aim: The study objective was to improve surgical management of patients with ventral compression of the spinal cord in the setting of AAD of various genesis.

Material And Methods: We analyzed treatment outcomes in 250 patients with C1 and C2 injuries and diseases for the period between 2002 and 2016. Read More

Zhonghua Yi Xue Za Zhi 2018 Feb;98(8):587-591

Department of Spine Surgery, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang 830054, China.

To discuss the surgical treatment and its effectiveness of odontoid fracture complicated with atlantoaxial dislocation in children with spinal cord injury. From January 2010 to December 2014, 10 cases of children under 14 years old, with intractable odontoid fracture with atlantoaxial dislocation were enrolled. The mean duration between injury and admission was 8. Read More

World Neurosurg 2018 Jun 9;114:e344-e349. Epub 2018 Mar 9.

Department of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Background: Dislocations to cervical facets resulting from traumatic injury often lead to neurologic impairment and can be treated both surgically and in a closed manner.

Objective: We sought to evaluate the utilization of closed reduction in the initial management of bilateral facet dislocations over the past 10 years at our institution.

Methods: We retrospectively reviewed the charts of patients who experienced subaxial cervical facet injury within the Penn Health System between 1 June 2006 and 1 June 2016 to identify patients with bilateral jumped/perched facets. Read More

World Neurosurg 2018 Jun 7;114:e301-e305. Epub 2018 Mar 7.

Department of Spine Surgery, China-Japan Friendship Hospital, Beijing, China; Graduate School of Beijing University of Chinese Medicine, Beijing, China.

Objective: To describe lower cranial nerve (CN) palsy following vertical overdistraction when performing occipitocervical fusion (OCF) to treat vertical atlantoaxial dislocation (AAD) and basilar invagination (BI) and investigate its possible causes.

Methods: We report 4 cases with vertical AAD and BI who presented postoperatively with neurogenic dysphagia, dysarthria, and bucking after undergoing anatomic reduction.

Results: Patients underwent revision surgery to achieve partial reduction and demonstrated remarkable recovery of CN IX, X, and XI deficits. Read More

Medicine (Baltimore) 2018 Mar;97(10):e0066

Department of Spine Surgery.

This study aims to evaluate the application of multimodal intraoperative monitoring (MIOM) in surgical treatment for spine burst fracture and dislocation (SBFD) patients.Eleven patients who underwent posterior reduction and instrumentation (PRI) for SBFD from June 2014 to July 2016 were included into the study. The function of the spinal cord was monitored by MIOM. Read More

World Neurosurg 2018 Jun 6;114:e151-e157. Epub 2018 Mar 6.

Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA; Department of Orthopaedic Surgery, Rhode Island Hospital, Providence, Rhode Island, USA; Division of Spine Surgery, Rhode Island Hospital, Providence, Rhode Island, USA. Electronic address:

Background: Cervical spine injuries are a common cause of morbidity and mortality; however, the optimal treatment of many of these injuries is debated, and previous studies have shown substantial variation in treatment. We sought to examined treatment variation in arthrodesis and halo/tong placement in cervical spine injury patients over a 12-year period.

Methods: Data from the Healthcare Cost and Utilization Project National Inpatient Sample, from 2000 to 2011, were used for this study. Read More

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

BMJ Case Rep 2018 Mar 1;2018. Epub 2018 Mar 1.

Department of Otolaryngology, St George's Hospital, London, UK.

An 11-year-old boy with a history of autism spectrum disorder attended the emergency department with his mother 8 days after an adenotonsillectomy reporting postoperative bleeding. Detailed physical examination revealed no active bleeding, but a rigid neck posture was noted. A head and neck CT scan demonstrated unilateral rotatory atlantoaxial subluxation and possible damage to the anterior spinal ligament. Read More

Medicine (Baltimore) 2018 Mar;97(9):e0050

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

Rationale: Traumatic fracture of the thoracolumbar junction (T10-L2) is the most common fracture of the spinal column. Due to the disruption of the entire vertebrae column, the fracture-dislocation of the thoracolumbar spine is almost invariably associated with neurological injury. A complete fracture-dislocation of the thoracolumbar spine without neurological deficit is a rare entity. Read More

World Neurosurg 2018 May 21;113:e515-e520. Epub 2018 Feb 21.

Department of Orthopedics, Zhongnan Hospital of Wuhan University, Wuhan, China.

Objectives: The purpose of this study is to evaluate the clinical effects of cervical spinal cord injury without fracture and dislocation (CSCIWFD) treatment in a medium-to long-term follow-up study. The clinical treatment of CSCIWFD is also discussed.

Methods: A consecutive series of 42 CSCIWFD patients with complete follow-up data were retrospectively analyzed. Read More

World J Pediatr 2018 04 20;14(2):176-183. Epub 2018 Feb 20.

Center of Orthopaedic and Trauma Surgery/Spinal Cord Injury Center, Heidelberg University Hospital, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany.

Background: Most orthopedic surgeons prefer spica cast immobilization in children for 4 to 12 weeks after surgical hip reconstruction in children with developmental hip dysplasia. This challenging treatment may be associated with complications. Studies are lacking that focus on early mobilization without casting for postoperative care after hip reconstruction. Read More