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Cervical Spine Fracture

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21. A systematic review of evidence on malignant spinal metastases: natural history and technologies for identifying patients at high risk of vertebral fracture and spinal cord compression

risk of SCC. In one study, risk of SCC before death was 24%, and 2.37 times greater with a Gleason score = 7 than with a score of 90% of patients, spinal metastases are extradural, most often arising in the vertebral column and then extending into the epidural space. Spinal metastases very rarely involve the intradural and intramedullary regions of the spine. 10 The average time from original diagnosis of cancer to development of spinal metastases has been estimated to be 32 months and the average (...) A systematic review of evidence on malignant spinal metastases: natural history and technologies for identifying patients at high risk of vertebral fracture and spinal cord compression http://wrap.warwick.ac.uk/ Original citation: Sutcliffe, Paul A., Connock, M., Shyangdan, Deepson S., Court, Rachel A., Kandala, Ngianga-Bakwin and Clarke, Aileen, 1955-. (2013) A systematic review of evidence on malignant spinal metastases : natural history and technologies for identifying patients at high risk

2013 NIHR HTA programme

22. Letter to the Editor concerning "A prospective randomized controlled study comparing the pain relief in patients with osteoporotic vertebral compression fractures with the use of vertebroplasty or facet blocking" by Wang B, Guo H, Yuan L et al. Eur Spine (Abstract)

Letter to the Editor concerning "A prospective randomized controlled study comparing the pain relief in patients with osteoporotic vertebral compression fractures with the use of vertebroplasty or facet blocking" by Wang B, Guo H, Yuan L et al. Eur Spine 27734196 2018 03 30 2018 12 02 1432-0932 25 12 2016 12 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur Spine (...) J Letter to the Editor concerning "A prospective randomized controlled study comparing the pain relief in patients with osteoporotic vertebral compression fractures with the use of vertebroplasty or facet blocking" by Wang B, Guo H, Yuan L et al. Eur Spine J (2016): doi:10.1007/s00586-016-4425-4. 4208-4209 Liu Xiao-Feng XF The Second Clinical College of Guangzhou University of TCM, 12 Airport Road, Baiyun District, Guangzhou, 510405, Guangdong, China. Wu Yan-Hua YH Clinical Medical College

2018 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain

23. Initial Closed Reduction of Cervical Spinal Fracture-Dislocation Injuries Full Text available with Trip Pro

and making assessment and treatment decisions: a multicenter reliability study . Am J Orthop (Belle Mead NJ) . 2009 ; 38 ( 10 ): E156 – E161 . 36. Vaccaro AR , An HS , Lin S , Sun S , Balderston RA , Cotler JM Noncontiguous injuries of the spine . J Spinal Disord . 1992 ; 5 ( 3 ): 320 – 329 . 37. Hadley MN , Argires P The acute/emergent management of vertebral column fracture dislocation injuries: neurological emergencies . Neurosurgical Emergencies Volume II: 249-262 . American Association (...) of the cervical spine in awake patients is recommended. Closed reduction in patients with an additional rostral injury is not recommended. Magnetic resonance imaging is recommended for patients with cervical spinal fracture dislocation injuries if they cannot be examined during closed reduction because of altered mental status or before either anterior or posterior surgical procedures when closed reduction has failed. Prereduction magnetic resonance imaging performed in patients with cervical fracture

2013 Congress of Neurological Surgeons

24. Spine and Spinal Cord Injury Associated with a Fracture in Elderly Patients with Ankylosing Spondylitis Full Text available with Trip Pro

Spine and Spinal Cord Injury Associated with a Fracture in Elderly Patients with Ankylosing Spondylitis There are few cases of spinal cord injury with ankylosing spondylitis (AS). This study investigated the clinical results of a spinal cord injury with a fracture in elderly patients with AS. Nine patients who had sustained a spinal cord injury with vertebral fractures in ankylosed spines were included in this study. The mean age was 79.3 years; two were male and seven were female (...) . The mechanism of injury, the level of vertebral fractures, clinical methods, the follow-up period, and treatment outcomes were investigated. The mechanism of injury of six cases was a fall and in the others was a slip. The levels of vertebral fractures were a cervical lesion (n = 5), a thoracic lesion (n = 3), and a lumbar lesion (n = 1). Six cases underwent a surgical procedure with posterior fusion and decompression, two cases were treated only with a brace, and one case was treated with a halo vest

2017 Neurologia medico-chirurgica

25. Kinematics of the Cervical Spine Following Unilateral Facet Fracture: An in-vitro Cadaver Study. (Abstract)

Kinematics of the Cervical Spine Following Unilateral Facet Fracture: An in-vitro Cadaver Study. Biomechanical study utilizing human cadaveric cervical spines.To quantitatively assess the effects on intervertebral motion of isolated unilateral cervical facet fracture, and after disruption of the intervertebral disc at the same level.Clinical evidence has indirectly suggested that cervical facet fractures involving 40% of the height of the lateral mass can cause instability of the involved (...) segment. No study to date has demonstrated the kinematic effects of such an injury in a cadaveric model of the cervical spine.Nine six-segment cervical spines were defrosted and fixated to a spine motion simulator capable to apply unconstrained bending moments in the three anatomical planes. The spines were subjected to a maximum torque of 2 N · m in flexion, extension, left and right lateral bending, and of 4 N · m in left and right axial rotation. Each spine was tested in the intact configuration

2017 Spine

26. Clinical Efficacy of Anterior Partial Corpectomy and Titanium Mesh Fusion and Internal Fixation for Treatment of Old Fracture Dislocation of the Lower Cervical Spine Full Text available with Trip Pro

restoration can be achieved by using anterior partial corpectomy and titanium mesh fusion and internal fixation to treat old fracture dislocation of the lower cervical spine. For cases with locked facet joints or posterior structures invading the vertebral canal, the combined anterior and posterior approaches should be performed, when necessary, to achieve better results. (...) Clinical Efficacy of Anterior Partial Corpectomy and Titanium Mesh Fusion and Internal Fixation for Treatment of Old Fracture Dislocation of the Lower Cervical Spine 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

2017 Medical science monitor : international medical journal of experimental and clinical research

27. Application of ultrasound-guided C5 nerve root block using polydeoxyribonucleotide in traumatic C5 nerve root injury caused by fracture of the articular process of the cervical spine: A case report. Full Text available with Trip Pro

Application of ultrasound-guided C5 nerve root block using polydeoxyribonucleotide in traumatic C5 nerve root injury caused by fracture of the articular process of the cervical spine: A case report. Cervical nerve root injury is one of the complications of traumatic cervical spine fracture. Although one of the most effective treatments to reduce inflammation in nerve root injuries is the use of corticosteroids or nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids and NSAIDs can (...) process fracture with an ultrasound-guided cervical nerve root block (NRB) using PDRN.A 54-year-old female patient with motor weakness of the left upper extremity and tingling sensation in the left neck and shoulder. DIAGNOSES:: traumatic C5 nerve root injury due to a fracture of the left articular process in the C4 spine.Ultrasound-guided C5 NRB using PDRN.Her motor weakness and sensory symptoms of the left upper extremity were significantly improved after treatment using an ultrasound-guided C5 NRB

2017 Medicine

28. Unilateral vertebral artery injury in a patient with displaced upper cervical spine fractures: the treatment for one case of vertebral artery embolism. (Abstract)

Unilateral vertebral artery injury in a patient with displaced upper cervical spine fractures: the treatment for one case of vertebral artery embolism. To report a novel treatment method for vertebral artery injury. Vertebral artery injuries may be caused during trauma by fracture and excessive motion with subluxation from C2 to C6 in spite of vertebral artery deeply seated and normally well protected inside the transverse foramen. Optimal medical management of the occluded vertebral artery has (...) yet to be determined.We report on a severely displaced C2-C3 fracture that was found to have a vertebral artery injury. Medical records and imaging were reviewed.A 50-year-old lady was hit by steel tube without loss of consciousness, but complaining of severe cervical and bilateral periscapular pain. Physical examination identified a neurologically intact patient with frontotemporal ecchymosis and posterior cervical tenderness. MRA and DSA showed an occluded left vertebral artery. After 3 days

2017 European Spine Journal

29. The magnitude of angular and translational displacement of dens fractures is dependent on the sagittal alignment of the cervical spine rather than the force of injury. Full Text available with Trip Pro

The magnitude of angular and translational displacement of dens fractures is dependent on the sagittal alignment of the cervical spine rather than the force of injury. Although it is generally believed that the magnitude of dens fracture displacement is proportional to the amount of force applied to the cervical spine during injury, the factors responsible for displacement have not been studied.Our aim was to determine factors that contribute to horizontal and angular displacement of dens (...) . Horizontal displacement was only dependent on C6-C7 inclination angle and anteroposterior sagittal balance.Disc space inclination angles of the lower cervical spine and the cervical sagittal balance most contribute to the magnitude of angular and horizontal displacement of the dens after fracture.Copyright © 2017. Published by Elsevier Inc.

2017 The Spine Journal

30. Pathological burst fracture in the cervical spine with negative red flags: a 12-year follow-up Full Text available with Trip Pro

Pathological burst fracture in the cervical spine with negative red flags: a 12-year follow-up In 2004, a 61-year-old male presented to a chiropractic clinic complaining of neck pain after hearing a 'crunch' when getting out of bed that morning. The initial history intake and physical examination identified no red flags or indications for the patient's pain, with the exception of traction being pain-provoking. Conventional radiographs were ordered, which identified a pathological burst fracture (...) of the fourth cervical vertebra. This Imaging Case Review (ICR) is to provide clinicians with a follow-up to the patient's care and current state.

2017 The Journal of the Canadian Chiropractic Association

31. The role of pre-reduction MRI in the management of complex cervical spine fracture-dislocations: an ongoing controversy? Full Text available with Trip Pro

The role of pre-reduction MRI in the management of complex cervical spine fracture-dislocations: an ongoing controversy? Cervical spine fracture-dislocations in neurologically intact patients represent a surgical challenge due to the risk of inflicting iatrogenic spinal cord compression by closed reduction maneuvers. The use of MRI for early advanced imaging in these injuries remains controversially debated.A 54-year old man sustained a fall over the handlebars of his racing bicycle (...) . The helmeted patient sustained a fall on his head which resulted in a hyperflexion injury of the neck. He was neurologically intact on presentation. Initial CT imaging revealed a complex multisegmental cervical spine injury with a left-sided C6/C7 perched facet, a right sided C7/T1 fracture-dislocation, and a right-sided C6 and C7 traumatic laminotomy. The initial management consisted of temporary external Halo fixator application without closed reduction maneuver, to mitigate the risk of a delayed spinal

2017 Patient safety in surgery

32. Single-Session Combined Anterior-Posterior Approach for Treatment of Ankylosing Spondylitis with Obvious Displaced Lower Cervical Spine Fractures and Dislocations Full Text available with Trip Pro

Single-Session Combined Anterior-Posterior Approach for Treatment of Ankylosing Spondylitis with Obvious Displaced Lower Cervical Spine Fractures and Dislocations 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. This study retrospective analysis was conducted in 12 patients with AS and lower cervical spine fractures and dislocations and explored single-session combined anterior-posterior approach for the treatment of AS with obvious displaced lower cervical spine fractures and dislocations which has demonstrated advantages such as good stabilization, satisfied fracture healing

2017 BioMed research international

33. One-stage surgical treatment of cervical spine fracture-dislocation in patients with ankylosing spondylitis via the combined anterior-posterior approach. Full Text available with Trip Pro

and 2 of moderate dependence preoperation. In no cases did severe complications from implanted instrumentation occur.It was high efficacy and safety that the surgical therapy was performed on cervical fracture-dislocation in AS patients by the 1-stage combined anterior-posterior approach. The key of the surgery is the robust stabilization and full decompression of fracture spine at early stage. In addition, if spinal anatomical reduction of fracture segments is difficult to be achieved (...) One-stage surgical treatment of cervical spine fracture-dislocation in patients with ankylosing spondylitis via the combined anterior-posterior approach. The aim of the article is to investigate the efficacy and safety of 1-stage surgical therapy via combined anterior-posterior approach on cervical spine fracture in patients with ankylosing spondylitis (AS).We retrospectively analyzed profiles of 12 AS patients with severe fracture-dislocation of cervical spine received 1-stage combined

2017 Medicine

34. The NEXUS criteria are insufficient to exclude cervical spine fractures in older blunt trauma patients. (Abstract)

The NEXUS criteria are insufficient to exclude cervical spine fractures in older blunt trauma patients. The National Emergency X-Radiography Utilization Study (NEXUS) criteria are used to assess the need for imaging to evaluate cervical spine integrity after injury. The aim of this study was to assess the sensitivity of the NEXUS criteria in older blunt trauma patients.Patients aged 65 years or older presenting between 1st July 2010 and 30th June 2014 and diagnosed with cervical spine fractures (...) were identified from the institutional trauma registry. Clinical examination findings were extracted from electronic medical records. Data on the NEXUS criteria were collected and sensitivity of the rule to exclude a fracture was calculated.Over the study period 231,018 patients presented to The Alfred Emergency & Trauma Centre, of whom 14,340 met the institutional trauma registry inclusion criteria and 4035 were aged ≥65years old. Among these, 468 patients were diagnosed with cervical spine

2017 Injury

35. Prehospital spine immobilization/spinal motion restriction in penetrating trauma

traumapatients. Several studies have shown that, even with proper application, functional immobilization is not actually achieved, prompting an impending change in terminology to “spinal motion restriction” and further pushing the risk/benefit ratio away from recommending the use of cervical spine collars and longboards. [ ] There is an increasing call to end the routine use of spine immobilization in patients who would not benefit given the associated risks related to local pressure injury, increased (...) , Development, and Evaluation (GRADE) methodology or performed a meta-analysis. Based on data, many large, regional systems have already eliminated the use of cervical collars or spine boards in penetrating trauma. [ ] We sought to review the published evidence on the topic of prehospital spine immobilization or spinal motion restriction in patients with penetrating trauma to structure a guideline with the potential to change practice nationwide and eliminate its use in this patient population. Methods

2018 Eastern Association for the Surgery of Trauma

36. Spine Fractures in Ankylosing Diseases: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) Full Text available with Trip Pro

Spine Fractures in Ankylosing Diseases: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) Review of literature and case series.Update and review of current treatment concepts for spine fractures in patients with ankylosing spinal disorders.Case presentation and description of a diagnostic and therapeutic algorithm for unstable spinal injuries with an underlying ankylosing spinal disorder (ASD) of the cervical and thoracolumbar spine.Nondisplaced (...) , M2) in patients with ASD and inherent high risk of secondary neurologic deterioration. For patients with ankylosing spondylitis (AS) or diffuse idiopathic hyperostosis (DISH) sustaining cervical spine fractures, a combined anterior-posterior instrumentation for fracture fixation is recommended. Closed reduction and patient positioning can be challenging in presence of preexisting kyphotic deformities. In the thoracolumbar (TL) spine, a posterior instrumentation extending 2 to 3 levels above

2018 Global spine journal

37. Posterior arthrodesis of C1-C3 for the stabilization of multiple unstable upper cervical fractures with spinal cord compromise: A case report and literature review. Full Text available with Trip Pro

Posterior arthrodesis of C1-C3 for the stabilization of multiple unstable upper cervical fractures with spinal cord compromise: A case report and literature review. Multiple fractures of the atlas and axis are rare. The management of multiple fragment axis fractures and unstable atlas fractures is still challenging for the spinal surgeon. There are no published reports of similar fractures with 3-part fracture of axis associated with an unstable atlas fracture.We present a patient (...) with concurrent axis and atlas fractures, which have not been reported. The patient suffered hyperextension injury with neck pain and numbness of the bilateral upper extremity associated with weakness after a 2-m fall. The axis fractures included an odontoid type IIA fracture and traumatic spondylolisthesis of C2-C3. The atlas fracture was unstable. The neurological examination manifested as central canal syndrome, which was due to the hyperextension injury of cervical spine and spondylolisthesis of C2-C3

2017 Medicine

38. Management of Pediatric Cervical Spine and Spinal Cord Injuries Full Text available with Trip Pro

further injury to the vertebral column and spinal cord. Immobilization of the child's cervical spine in the neutral position is desired. To achieve neutral alignment of the cervical spine in children < 8 years of age, allowances must be made for the relatively large head compared to the torso, which forces the neck into a position of flexion when the head and torso are supine on a flat surface. Nypaver and Treloar prospectively evaluated 40 children < 8 years of age seen in an emergency room (...) to exclude occult fractures or to evaluate regions not adequately visualized on plain radiographs. Flexion and extension cervical radiographs or fluoroscopy are recommended to exclude gross ligamentous instability when there remains a suspicion of cervical spinal instability following static radiographs or CT scan. Magnetic resonance imaging (MRI) of the cervical spine is recommended to exclude spinal cord or nerve root compression, evaluate ligamentous integrity, or provide information regarding

2013 Congress of Neurological Surgeons

39. Introduction to the Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries

of decompression in patients with cervical spinal cord injury: Initial one year results of the STASCIS study . Presented at: American Association of Neurological Surgeons Annual Meeting ; 2008 ; Denver, CO . 8. Fehlings MG , Wilson JR Timing of surgical intervention in spinal trauma: what does the evidence indicate? Spine (Phila Pa 1976) . 2010 ; 35 ( 21 suppl): S159 – S160 . 9. Baaj AA , Uribe JS , Nichols TA , et al. Health care burden of cervical spine fractures in the United States: analysis (...) Introduction to the Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries We use cookies to enhance your experience on our website. By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. Introduction to the Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries | Neurosurgery | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term Close search

2013 Congress of Neurological Surgeons

40. Early versus delayed decompression for traumatic cervical spinal cord injury: application of the AOSpine subaxial cervical spinal injury classification system to guide surgical timing. (Abstract)

Early versus delayed decompression for traumatic cervical spinal cord injury: application of the AOSpine subaxial cervical spinal injury classification system to guide surgical timing. Application of AOSpine subaxial cervical spine injury classification system to explore the optimal surgical decompression timing for different types of traumatic cervical spinal cord injury (CSCI).A single-center prospective cohort study was conducted that included patients with traumatic CSCIs (C3-C7) between (...) February 2015 and October 2016. After enrollment, patients underwent either early (< 72 h after injury) or late (≥ 72 h after injury) decompressive surgery of the cervical spinal cord. Each group was divided into A0, A1-4, B, C/F4 and F1-3 subgroups. The primary outcomes were ordinal changes in the ASIA Impairment Scale (AIS) and the Spinal Cord Independence Measure III (SCIM version 3) at a 12-month follow-up. The secondary outcomes included length of hospital stay, postoperative neurological

2019 European Spine Journal

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