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Cervical Spine Fracture

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41. Letter to the Editor concerning "Comparison of unilateral versus bilateral percutaneous kyphoplasty for the treatment of patients with osteoporosis vertebral compression fracture (OVCF): a systematic review and meta-analysis" by X. Cheng et al. Eur Spine (PubMed)

Letter to the Editor concerning "Comparison of unilateral versus bilateral percutaneous kyphoplasty for the treatment of patients with osteoporosis vertebral compression fracture (OVCF): a systematic review and meta-analysis" by X. Cheng et al. Eur Spine 28138778 2018 04 02 2018 12 02 1432-0932 26 4 2017 04 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 "Comparison of unilateral versus bilateral percutaneous kyphoplasty for the treatment of patients with osteoporosis vertebral compression fracture (OVCF): a systematic review and meta-analysis" by X. Cheng et al. Eur Spine J (2016); doi:10.1007/s00586-016-4395-6. 1320-1321 10.1007/s00586-017-4954-5 Gao Shangzhi S Division of Spinal Surgery, The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Rd, Nanning, Guangxi, 530021, China. He

2017 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

42. Comparison of the Vacuum Mattress versus the Spine Board Alone for Immobilization of the Cervical Spine Injured Patient: A Biomechanical Cadaveric Study. (PubMed)

Comparison of the Vacuum Mattress versus the Spine Board Alone for Immobilization of the Cervical Spine Injured Patient: A Biomechanical Cadaveric Study. A biomechanical cadaveric study.We sought to determine the amount of motion generated in an unstable cervical spine fracture with use of the vacuum mattress versus the spine board alone. Our hypothesis is that the vacuum mattress will better immobilize an unstable cervical fracture.Trauma patients in the United States are immobilized (...) on a rigid spine board, whereas in many other places, vacuum mattresses are used with the proposed advantages of improved comfort and better immobilization of the spine.Unstable subaxial cervical injuries were surgically created in five fresh whole human cadavers. The amount of motion at the injured motion segment during testing was measured using a Fastrak, three-dimensional, electromagnetic motion analysis device (Polhemus Inc.). The measurements recorded in this investigation included maximum

2017 Spine

43. Cervical Spine Injury Risk Factors in Children With Blunt Trauma. (PubMed)

Cervical Spine Injury Risk Factors in Children With Blunt Trauma. Adult prediction rules for cervical spine injury (CSI) exist; however, pediatric rules do not. Our objectives were to determine test accuracies of retrospectively identified CSI risk factors in a prospective pediatric cohort and compare them to a de novo risk model.We conducted a 4-center, prospective observational study of children 0 to 17 years old who experienced blunt trauma and underwent emergency medical services scene (...) response, trauma evaluation, and/or cervical imaging. Emergency department providers recorded CSI risk factors. CSIs were classified by reviewing imaging, consultations, and/or telephone follow-up. We calculated bivariable relative risks, multivariable odds ratios, and test characteristics for the retrospective risk model and a de novo model.Of 4091 enrolled children, 74 (1.8%) had CSIs. Fourteen factors had bivariable associations with CSIs: diving, axial load, clotheslining, loss of consciousness

2019 Pediatrics

44. The Effects of Perioperative Corticosteroids on Dysphagia Following Surgical Procedures Involving the Anterior Cervical Spine: A Prospective, Randomized, Controlled, Double-Blinded Clinical Trial. (PubMed)

The Effects of Perioperative Corticosteroids on Dysphagia Following Surgical Procedures Involving the Anterior Cervical Spine: A Prospective, Randomized, Controlled, Double-Blinded Clinical Trial. Dysphagia is one of the most common complications of surgical procedures in the anterior cervical spine, and can persist up to 2 years postoperatively. Corticosteroids are relatively safe and inexpensive for treating various inflammatory conditions. Perioperative corticosteroid administration (...) for anterior cervical spine procedures may effectively minimize postoperative dysphagia, potentially leading to better outcomes, decreased readmission rates, and improved patient satisfaction. The purpose of this study was to determine the efficacy of perioperative corticosteroids in decreasing the severity and duration of dysphagia following single-level and multilevel anterior cervical spine procedures.Seventy-four patients undergoing elective anterior cervical surgical procedures for degenerative

2019 The Journal of Bone and Joint Surgery. American Volume

45. Rib Hyperostosis as a Risk Factor for Poor Prognosis in Cervical Spine Injury Patients with Diffuse Idiopathic Skeletal Hyperostosis. (PubMed)

Rib Hyperostosis as a Risk Factor for Poor Prognosis in Cervical Spine Injury Patients with Diffuse Idiopathic Skeletal Hyperostosis. Retrospective multi-center study.To identify the morphological features of costovertebral joints and ribs in surgically managed cervical injury patients with diffuse idiopathic skeletal hyperostosis (DISH) and to examine its impact on their vital prognosis.Several reports have indicated that DISH is an independent risk factor for mortality after spinal fracture (...) . The reason for the high mortality in cervical injury patients with DISH is unclear, although some reports have suggested a possible association between pulmonary complications and mortality.From 1999 to 2017, a total of 50 DISH patients (44 male) with cervical spine injuries who underwent spinal surgery were enrolled (average age 74 years). Prognosis and clinical risk factor data were collected; the morphological features of the patients' costovertebral joints and ribs were evaluated with computed

2019 Spine

46. Management and prognosis of acute traumatic cervical central cord syndrome: systematic review and Spinal Cord Society-Spine Trauma Study Group position statement. (PubMed)

Management and prognosis of acute traumatic cervical central cord syndrome: systematic review and Spinal Cord Society-Spine Trauma Study Group position statement. Spinal Cord Society (SCS) and Spine Trauma Study Group (STSG) established a panel tasked with reviewing management and prognosis of acute traumatic cervical central cord syndrome (ATCCS) and recommend a consensus statement for its management.A systematic review was performed according to the PRISMA 2009 guidelines. Delphi method (...) regarding management strategy, ten regarding timing of surgery and 12 regarding prognosis of ATCCS.There is reasonable evidence that patients with ATCCS secondary to vertebral fracture, dislocation, traumatic disc herniation or instability have better outcomes with early surgery (< 24 h). In patients of ATCCS secondary to extension injury in stenotic cervical canal without fracture/fracture dislocation/traumatic disc herniation/instability, there is requirement of high-quality prospective randomized

2019 European Spine Journal

47. Impact of resident involvement on cervical and lumbar spine surgery outcomes. (PubMed)

Impact of resident involvement on cervical and lumbar spine surgery outcomes. Resident involvement in the operating room is a vital component of their medical education. Conflicting and limited research exists regarding the effects of surgical resident participation on spine surgery patient outcomes.To determine the effect of resident involvement on surgery duration, length of hospital stay and 30-day postoperative complication rates in common spinal surgery using the American College (...) of Surgeons' National Surgical Quality Improvement Program (ACS-NSQIP) database.Multicenter retrospective cohort study.A total of 1,441 patients met the inclusion criteria: 1,142 patients had surgeries with an attending physician alone and 299 patients had surgeries with trainee involvement. All anterior cervical or posterior lumbar surgery patients were identified. Patients who had missing trainee involvement information, surgery for cancer, preoperative infection or dirty wound classification, spine

2019 The Spine Journal

48. An Investigation of the Metal Concentration in Patients Implanted With the PRESTIGE LPâ„¢ Cervical Disc at Two Contiguous Levels in the Cervical Spine

An Investigation of the Metal Concentration in Patients Implanted With the PRESTIGE LPâ„¢ Cervical Disc at Two Contiguous Levels in the Cervical Spine An Investigation of the Metal Concentration in Patients Implanted With the PRESTIGE LP™ Cervical Disc at Two Contiguous Levels in the Cervical Spine - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved (...) Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. An Investigation of the Metal Concentration in Patients Implanted With the PRESTIGE LP™ Cervical Disc at Two Contiguous Levels in the Cervical Spine The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical

2017 Clinical Trials

49. Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient

reassessment, cervical collar complication (e.g., pressure ulcer), and time to cervical collar clearance. The term obtunded required an operationalized definition using the terms Glasgow Coma Scale , altered , intoxicated , intubated , unconscious , and/or u nreliable exam . Unstable injuries were identified primarily using the system delineated by White and Punjabi and the three-column model of Denis. [9–11] C-spine instability required either a fracture or fractures involving contiguous columns or levels (...) ? Am Surg. 2000; 66: 326–330. Beirne JC, Butler PE, Brady FA. Cervical spine injuries in patients with facial fractures: a 1-year prospective study. Int J Oral Maxillofac Surg. 1995; 24: 26–29. Bolinger B, Shartz M, Marion D. Bedside fluoroscopic flexion and extension cervical spine radiographs for clearance of the cervical spine in comatose trauma patients. J Trauma. 2004; 56: 132–136. Platzer P, Thalhammer G, Jaindl M, Dittrich S, Vécsei V, Gaebler C. Clearing the cervical spine in polytrauma

2015 Eastern Association for the Surgery of Trauma

50. Delayed bilateral vertebral artery occlusion after cervical spine injury: a case report (PubMed)

Delayed bilateral vertebral artery occlusion after cervical spine injury: a case report There are considerable risks for the secondary spinal cord injury and the initial and/or delayed vertebral artery occlusion in cases of cervical fracture dislocation.An 86-year-old man was injured in a car accident and was diagnosed with no fracture or dislocation of the cervical spine by the emergency physician. However, he was transferred to our hospital 3 days later because he had motor weakness (...) at his previous doctor. On the day of his arrival at our hospital, the patient underwent a C5/6 posterior spinal fusion. Three months after surgery, he recovered to 46 points on the upper extremity ASIA motor score, and blood flow in the left vertebral artery was resumed.Early reduction and stabilization are necessary for cervical spine fracture dislocation; however, it is important not only for the prevention of the secondary injury but also for the reduction of the risk of vertebral artery

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2016 Spinal cord series and cases

51. Letter to the Editor concerning "Percutaneous versus traditional and paraspinal posterior open approaches for treatment of thoracolumbar fractures without neurologic deficit: a meta-analysis'' by Sun, XY., Zhang, XN. & Hai, Y. Eur Spine J (2016). doi:10.1 (PubMed)

Letter to the Editor concerning "Percutaneous versus traditional and paraspinal posterior open approaches for treatment of thoracolumbar fractures without neurologic deficit: a meta-analysis'' by Sun, XY., Zhang, XN. & Hai, Y. Eur Spine J (2016). doi:10.1 27858236 2018 03 30 2018 12 02 1432-0932 26 1 2017 01 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 "Percutaneous versus traditional and paraspinal posterior open approaches for treatment of thoracolumbar fractures without neurologic deficit: a meta-analysis'' by Sun, XY., Zhang, XN. & Hai, Y. Eur Spine J (2016). doi:10.1007/s00586-016-4818-4. 293-294 10.1007/s00586-016-4868-7 Zhao Yongzhao Y Orthopedic Department, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 301 Yanchang Road, Shanghai, 200072, China. Fan Guoxin G Orthopedic

2016 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

52. Cervical spine immobilisation in the elderly: a literature review. (PubMed)

Cervical spine immobilisation in the elderly: a literature review. Developed populations are ageing rapidly and by 2040, approximately 1 in 4 adults will be over 65 years of age. This is resulting in higher incidence of traumatic injury in older patients. Cognitive and physical comorbidities in this group can pose significant challenges. Due to mechanisms of injury and pre-existing degenerative spinal disease, cervical spine fractures are particularly prevalent in elderly patients (...) . These are associated with significant morbidity and mortality. In this literature review we examine current evidence surrounding the use of cervical spine immobilisation in elderly patients in the pre-hospital and emergency department setting and also as a treatment option for cervical spine fractures. We explore evidence surrounding the complications that can arise from cervical spine immobilisation, including the development of pressure sores, raised intracranial pressure, dysphagia, breathing difficulties

2018 British Journal of Neurosurgery

53. Impact of Practitioner and Instructional Set on Subject Perceptions and Expectations of Cervical Spine Manipulation

Impact of Practitioner and Instructional Set on Subject Perceptions and Expectations of Cervical Spine Manipulation Impact of Practitioner and Instructional Set on Subject Perceptions and Expectations of Cervical Spine Manipulation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Impact of Practitioner and Instructional Set on Subject Perceptions and Expectations of Cervical Spine Manipulation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2018 Clinical Trials

54. Brown tumor of the cervical spine in a patient with secondary hyperparathyroidism: A case report (PubMed)

tumor in C4 vertebra.A 25-year-old woman with an history of 2 months of worsening cervicalgia without history of trauma. She complained about progressive neck pain with irradiation to both shoulders and right arm paresthesias, spontaneous fracture or brown spinal cord tumor were suspected. She presented cervical spine instability, was managed with corpectomy of C4 and biopsy.The initial suspicion of this disease must be since the first clinician contact of the patient and with the past medical (...) Brown tumor of the cervical spine in a patient with secondary hyperparathyroidism: A case report Brown tumors are non-neoplastic, expansive bone lesions that occur only in the setting of hyperparathyroidism. The most usual localization of brown tumors is in mandible, ribs and large bones. In cervical spine, to date, there are only 11 cases reported. The aim of this work is to report the case of a patient with Wegener´s granulomatosis with secondary end stage renal failure who developed a brown

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2018 International journal of surgery case reports

55. Management of irreducible unilateral facet joint dislocations in subaxial cervical spine: two case reports and a review of the literature (PubMed)

fixation, and intervertebral fusion after the failure of skull traction and closed reduction. At the postoperative 24-month follow-up, intervertebral fusion was achieved and our patients' neurological status improved based on the American Spinal Injury Association scale, compared with their preoperative status.Unilateral facet joint dislocations of subaxial cervical spine are difficult to reduce when complicated with posterior facet fractures or ligamentous injury. Magnetic resonance imaging can (...) Management of irreducible unilateral facet joint dislocations in subaxial cervical spine: two case reports and a review of the literature 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

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2018 Journal of medical case reports

56. A pathological toe fracture as the first presentation of cervical cancer: A case report. (PubMed)

A pathological toe fracture as the first presentation of cervical cancer: A case report. Cervical cancer is one of the most common gynecologic malignancies worldwide, and it spreads mainly through direct extension. Distinct metastases are less common and usually spread to distant lymph nodes, lungs, and bones. Bone metastases from cervical cancer are most commonly observed in the pelvis and spine. Thus, a pathological toe fracture as the initial presentation of cervical cancer is extremely (...) rare.We report a patient with a toe metastasis that first presented with pain caused by a pathological fracture.The patient underwent surgery to remove the right great toe, and the histopathology revealed squamous carcinoma that originated from the cervix.The patient then underwent cervical cancer surgery, chemotherapy, and radiotherapy.A pathological toe fracture as the initial presentation of cervical cancer is extremely rare, but clinicians need to be aware that we should not exclude cancer when

2019 Medicine

57. Treatment of Axis Ring Fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) (PubMed)

Treatment of Axis Ring Fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) Narrative literature review and expert recommendation.To establish treatment recommendations for axis ring fractures based on the knowledge of the experts of the Spine Section of the German Society for Orthopaedics and Trauma.This recommendation summarizes the knowledge of the experts of the Spine Section of the German Society for Orthopaedics and Trauma with regard (...) fusion is planned (anterior cervical discectomy and fusion [ACDF] C2/3). If a closed reduction of a type III fracture is impossible, an open reduction and posterior fixation/fusion is the treatment of choice.Conservative treatment is predominantly reserved for Levine-Edwards I and IIA fractures. Operative treatment should be performed in case of Levine-Edwards II and III fractures.

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2018 Global spine journal

58. Traumatic Cervical Spondyloptosis of the Subaxial Cervical Spine: A Case Series with a Literature Review and a New Classification (PubMed)

Traumatic Cervical Spondyloptosis of the Subaxial Cervical Spine: A Case Series with a Literature Review and a New Classification This is a retrospective study on patients with traumatic subaxial cervical spondyloptosis and includes a review of the available literature regarding the management of this injury.This study aimed to assess the biomechanics and varied clinical presentations of this rare but devastating injury.This is a case series of three patients and a review of the available (...) literature on subaxial cervical spondyloptosis. Traumatic cervical spondyloptosis of the subaxial spine is rare, with varied clinical presentations.The management of cervical subaxial spondyloptosis represents a challenge to all spine care specialists, and there is a paucity of literature on the best methods for managing this condition. Our experience includes three such patients who visited our tertiary trauma center. This article explains the diverse clinical features of the injury as well

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2016 Asian spine journal

59. Evaluation of the Thoracic and Lumbar Spine in Blunt Trauma

was involved in a motor vehicle collision. he was the unrestrained driver in a car that hydroplaned on the highway and collided with the concrete barrier. His car spun around and was struck on the driver’s side before coming to rest in the median. The driver had LOC and ended up in the passenger side of the car. His only complaint is a headache and chest pain. He arrives awake, alert, with abrasions and contusions to his upper face. he has no midline cervical, thoracic, or lumbar spine tenderness and he (...) is neurologically intact. Your next patient is Ms. P, a 47-year-old female with no significant past history who slipped on the wet stairs outside her apartment building. She ended up falling down four stairs, landing primarily on her buttocks. She complains of coccygeal and left hip pain, but denies back or neck pain. She has no midline tenderness in her cervical or thoracic spine, but does have tenderness in the midline lumbar spine, around L2/3. She is neurologically intact. You consider your imaging options

2019 Washington University Emergency Medicine Journal Club

60. Physiotherapy After Anterior Cervical Spine Surgery

and the Internet Motivated to exercise Exclusion Criteria: Exclusion criteria: Myelopathy Previous fracture or dislocation of the cervical spine Malignancy or benign spinal tumour (e.g. neuromas) Spinal infection, ongoing post-operative infection, or previous spondylodiscitis Previous cervical spine surgery Factors that are contraindicated for study participation or which hinder treatment or follow-up because of systemic disease, physical or mental illness, injury, inconvenience, or postoperative complications (...) Physiotherapy After Anterior Cervical Spine Surgery Physiotherapy After Anterior Cervical Spine Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Physiotherapy After Anterior Cervical Spine Surgery

2017 Clinical Trials

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