How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

2,700 results for

Cervical Spine Fracture

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

61. Cervical and lumbar total disc replacements

OF ABBREVIATIONS ABBREVIATION DEFINITION CTDR Cervical total disc replacement EQ-5D EuroQoL 5 dimensions LTDR Lumbar total disc replacement NDI Neck Disability Index NRS Numeric Rating Scale ODI Oswestry Disability Index RCT Randomised controlled trial SF-36 Medical Outcome Study Short Form 36-Item Health Survey TDR Total disc replacement VAS Visual Analog Scale 4 Total disc replacement KCE Report 254Cs ¦ SYNTHESIS 1. INTRODUCTION Chronic pain linked to spinal conditions is unfortunately commonly experienced (...) RCT. Spine. 2014;39(1):23-32. COLOPHON Title: Cervical and lumbar total disc replacements – Synthesis Authors: Kirsten Holdt Henningsen (KCE), Nancy Thiry (KCE), Chris De Laet (KCE), Sabine Stordeur (KCE), Cécile Camberlin (KCE) Project coordinator and Senior supervisor: Sabine Stordeur (KCE) Reviewers: Frank Hulstaert (KCE), Raf Mertens (KCE), Lorena San Miguel (KCE) External experts: Michael Bruneau (Belgian Society of Neurosurgery (BSN) – Hôpital Erasme, Bruxelles), Philippe Claesen (Jessa

2015 Belgian Health Care Knowledge Centre

62. 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 (...) , bone misalignment (subluxations, listhesis, interspinous widening, or splaying), or single-level ligamentous injury involving all three columns. A priori, our committee consensus of clinical judgment was that a 3 of 1,000 rate (0.3%) was an upper acceptable limit for a missed unstable C-spine injury. Spinal cord injuries included spinal epidural hematomas, subdural hematomas, cord edema, or cord contusions. Nonligamentous soft tissue injury was captured, when specified. If discrepancies existed

2015 Eastern Association for the Surgery of Trauma

63. Floating Lateral Mass Fractures of the Cervical Spine. Full Text available with Trip Pro

Floating Lateral Mass Fractures of the Cervical Spine. Level I trauma center case series.The purpose of this study was (i) to characterize the floating lateral mass (FLM) fracture with the mechanism of injury, anatomical injury pattern, associated vascular injuries, neurological deficits, and key radiographic features; and (ii) to better understand the most effective method of treatment.An uncommon and poorly described subset of unilateral lateral mass fractures is FLM with fractures (...) manifested as an anterolisthesis. CT showed facet joint widening at the level above and below in 63%. Vertebral artery injuries occurred in 22%. Neurological deficits occurred as radiculopathy in 38% and spinal cord injury in 18%. All eight patients, who were treated nonoperatively, developed subluxation despite external immobilization and six patients required surgery. Of the 58 patients treated operatively, 31 (53%) patients underwent a 2 level Anterior Cervical Discectomy and Fusion (ACDF) alone. Nine

2016 Spine

64. Complications and long-term outcomes after open surgery for traumatic subaxial cervical spine fractures: a consecutive series of 303 patients. Full Text available with Trip Pro

Complications and long-term outcomes after open surgery for traumatic subaxial cervical spine fractures: a consecutive series of 303 patients. Patient selection for surgical treatment of subaxial cervical spine fractures (S-CS-fx) may be challenging and is dependent on fracture morphology, the integrity of the discoligamentous complex, neurological status, comorbidity, risks of surgery and the expected long-term outcomes. The purpose of this study is to evaluate complications and long-term (...) outcomes in a consecutive series of 303 patients with S-CS-fx treated with open surgical fixation.Medical charts were retrospectively reviewed. The surviving patients participated in a prospective long-term follow-up, including clinical history, physical examination and updated cervical CT. Patients with ankylosing spondylitis were excluded from this study.The median patient age was 48 years (range 14.7-93.9), and 74 % were males. Preoperatively, 43 % had spinal cord injury (SCI), and 27 % exhibited

2016 BMC Surgery

65. Cervical Spine Fracture and Other Diagnoses Associated with Mortality in Hospitalized Ankylosing Spondylitis Patients. Full Text available with Trip Pro

Cervical Spine Fracture and Other Diagnoses Associated with Mortality in Hospitalized Ankylosing Spondylitis Patients. Little data exist regarding mortality in ankylosing spondylitis (AS). We assessed diagnoses associated with in-hospital mortality in AS using a population-based inpatient data set.Data were abstracted from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample between 2007 and 2011. We identified AS admissions using International Classification of Diseases (...) , Ninth Revision, Clinical Modification code 720.0. In-hospital mortality was the primary outcome. Logistic regression was used to evaluate the association between top diagnoses and in-hospital mortality. We performed a secondary analysis from the same years in all patients (with and without AS) with cervical spine (C-spine) fracture to determine whether AS was an independent risk factor for mortality.Between 2007 and 2011, we identified 12,484 admissions and 267 deaths in AS patients. C-spine

2016 Arthritis care & research

66. Positive Outcome After a Small-Caliber Gunshot Fracture of the Upper Cervical Spine without Neurovascular Damage Full Text available with Trip Pro

Positive Outcome After a Small-Caliber Gunshot Fracture of the Upper Cervical Spine without Neurovascular Damage Gunshot wounds to the cervical spine most frequently concur with serious injuries to the spinal cord and cervical vessels and often have a fatal outcome.We describe the case of a 35-year-old male with a complex fracture of the C2 vertebra body and a mandibular fracture after a penetration gunshot to the cervical spine. Computed tomography (CT) at admission revealed the exact extent (...) of the fractures and the small caliber bullet lodged next to the C2 vertebra. In this rare and extremely lucky case no collateral vascular or neurological damage was detected. Eighteen months after surgical bullet removal and posterior C1-C3 fusion complete bone healing of the C2 vertebra was achieved and there were no secondary neurovascular deficits.Immediate surgical C1-C3 fixation resulted in an excellent outcome without secondary neurovascular deficits in this rare case of traumatic complex C2 vertebral

2016 Polish Journal of Radiology

67. Blunt Cerebrovascular Injury in Cervical Spine Fractures: Are More-Liberal Screening Criteria Warranted? Full Text available with Trip Pro

Blunt Cerebrovascular Injury in Cervical Spine Fractures: Are More-Liberal Screening Criteria Warranted? Study Design Retrospective comparative study. Objective To compare strict Biffl criteria to more-liberal criteria for computed tomography angiography (CTA) when screening for blunt cerebrovascular injury (BCVI). Methods All CTAs performed for blunt injury between 2009 and 2011 at our institution were reviewed. All patients with cervical spine fractures who were evaluated with CTA were (...) %). Forty-nine were found to have BCVIs (19.5%). Forty-one injuries were related to fractures meeting Biffl criteria (21.4%), and 8 were related to fractures not meeting those criteria (13.6%). The relative risk of a patient with a Biffl criteria cervical spine injury having a vascular injury compared with those imaged outside of Biffl criteria was 1.57 (p = 0.19). Conclusions Our data demonstrates that although cervical spine injuries identified by the Biffl criteria trend toward a higher likelihood

2016 Global spine journal

68. Epidemiology of Cervical Spine Fractures Full Text available with Trip Pro

Epidemiology of Cervical Spine Fractures Epidemiology of cervical spine fractures (CSfx) in trauma patients of general population is not yet exclusively known.The purpose of this study was to evaluate the epidemiology of CSfx in trauma patients.Data from trauma patients admitted in the emergency room (ER) of Shiraz Shahid Rajaei hospital during the 3.5 years period from September 22, 2009 to March 21, 2013, were gathered. All trauma patients with CSfx and/or spinal cord injuries were included (...) in the study. The time of the trauma, mechanism of trauma, injury position, and incidence of cervical spine fractures in the patients were recorded.A total of 469 patients met the inclusion criteria. The mean age of the patients was 34.7 years old, with a minimum age of 16 years old and a maximum age of 89 years old. Young adults were most frequently affected. Out of 469 cases, 368 patients (78.47%) were male and 101 (21.53%) were female. We had a total of 17 SCI cases among our patients (3.62%), out

2016 Trauma monthly

69. Severe dysphagia requiring gastrostomy following cervical spine fracture fixation Full Text available with Trip Pro

in this population.A retrospective multicenter review of all adult patients requiring operative fixation of cervical spine fractures was performed. Data on demographics, injury severity score, presence of spinal cord injury, operative approach, presence of severe traumatic brain injury, and the need and timing of tracheostomy and GT were collected. The timing, number and results of formal speech, and language pathology examinations were also recorded.243 patients underwent cervical spine fixation for traumatic (...) Severe dysphagia requiring gastrostomy following cervical spine fracture fixation The incidence of severe dysphagia requiring gastrostomy tube (GT) placement following operative fixation of traumatic cervical spine fractures is unknown. Risk factors for severe dysphagia are not well identified and GT placement is often delayed due to the belief that it will resolve quickly. We hypothesized that patient and clinical factors could be used to predict severe dysphagia requiring GT placement

2016 Trauma Surgery & Acute Care Open

70. Pathological burst fracture in the cervical spine with negative red flags: a case report Full Text available with Trip Pro

Pathological burst fracture in the cervical spine with negative red flags: a case report To report on a case of a pathological burst fracture in the cervical spine where typical core red flag tests failed to identify a significant lesion, and to remind chiropractors to be vigilant in the recognition of subtle signs and symptoms of disease processes.A 61-year-old man presented to a chiropractic clinic with neck pain that began earlier that morning. After a physical exam that was relatively (...) unremarkable, imaging identified a burst fracture in the cervical spine.The patient was sent by ambulance to the hospital where he was diagnosed with multiple myeloma. No medical intervention was performed on the fracture.The patient's initial physical examination was largely unremarkable, with an absence of clinical red flags. The screening tools were non-diagnostic. Pain with traction and the sudden onset of symptoms prompted further investigation with plain film imaging of the cervical spine

2016 The Journal of the Canadian Chiropractic Association

71. Myositis ossificans of the longus coli muscle following cervical spine fracture-dislocation Full Text available with Trip Pro

Myositis ossificans of the longus coli muscle following cervical spine fracture-dislocation Upper cervical spine fractures are traumatic injuries typically associated with high-energy trauma and have a high morbidity and mortality rate. We describe a case of upper cervical spine fracture occurring due to high-energy trauma that resulted in significant myositis ossificans (MO) of the longus coli muscle.Case Report and literature review.Retrospective review of medical records.The patient (...) was treated non-operatively for the neck rotation and MO of his longus coli muscle and had gradual improvement of symptoms.To our knowledge, this is the first report of symptomatic MO of the longus coli following traumatic cervical spine fracture in an adult. Treatment with supportive measures appears to achieve satisfactory outcome.

2016 The journal of spinal cord medicine

72. Pressure-induced end-plate fracture in the porcine spine: Is the annulus fibrosus susceptible to damage? (Abstract)

Pressure-induced end-plate fracture in the porcine spine: Is the annulus fibrosus susceptible to damage? To determine if the mechanical properties of the annulus fibrosus (AF) are altered following end-plate fracture. Vertebral fractures, particularly those in the growth plate, are relatively common among adolescents. What is unclear is whether or not these fractures are also associated with concomitant damage to the intervertebral disc (IVD), in particular the AF.The current study employed (...) a high-rate IVD pressurization model to create growth plate fractures in the porcine cervical spine. Posterior AF mechanical properties and laminate adhesion strength were quantified in fractured spines and compared to samples obtained from non-pressurized, un-fractured spines.AF laminate adhesion strength was 31% lower in the fractured spines compared to the un-fractured spines.This decrease in laminate adhesion strength suggests that growth plate fracture damage is not isolated to the vertebra

2017 European Spine Journal

73. The Burden of Spine Fractures in India: A Prospective Multicenter Study Full Text available with Trip Pro

The Burden of Spine Fractures in India: A Prospective Multicenter Study Prospective cohort study.The objectives of this study were (1) to determine the characteristics of patients sustaining spinal trauma in India and (2) to explore the association between patient or injury characteristics and outcomes after spinal trauma.In affiliation with the ongoing INternational ORthopaedic MUlticentre Study (INORMUS), 192 patients with spinal injuries were recruited during an 8-week period (November 2011 (...) to June 2012) from 14 hospitals in India and followed for 30-days. The primary outcome was a composite of mortality, complications, and reoperation. This was regressed on a set of 13 predictors in a multiple logistic regression model.Most patients were middle-aged (mean age = 51.0 years; median age = 55.5 years; range = 18.0 to 72.0 years), male (60.4%), injured from falls (72.4%), and treated in a private setting (59.9%). Fractures in the lumbar region (51.0%) were most common, followed by thoracic

2017 Global spine journal

74. Pathologic C-spine fracture with low risk mechanism and normal physical exam. (Abstract)

Pathologic C-spine fracture with low risk mechanism and normal physical exam. Cervical spinal fracture is a rare, but potentially disabling complication of trauma to the neck. Clinicians often rely on clinical decision rules and guidelines to decide whether or not imaging is necessary when a patient presents with neck pain. Validated clinical guidelines include the Canadian C-Spine Rule and the Nexus criteria. Studies suggest that the risks of a pathologic fracture from a simple rear end (...) collision are negligible. We present a case of an individual who presented to an emergency department (ED) after a low speed motor vehicle collision complaining of lateral neck pain and had multiple subsequent visits for the same complaint with negative exam findings. Ultimately, he was found to have a severely pathologic cervical spine fracture with notable cord compression. Our objective is to discuss the necessity to incorporate clinical decision rules with physician gestalt and the need to take

2017 American Journal of Emergency Medicine

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

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

76. Cervical Spine Injury Risk Factors in Children With Blunt Trauma. (Abstract)

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

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

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

78. The influence of race and hospital environment on the care of patients with cervical spine fractures. (Abstract)

The influence of race and hospital environment on the care of patients with cervical spine fractures. The influence of non-white race on outcomes following orthopedic injury has been described in the past. The impact of such factors on hospital processes and quality of care after spinal trauma is less well understood.A cohort control study using the Massachusetts Statewide Inpatient Dataset (2003-2010) was used as the study design.This study aimed to determine whether (1) hospital processes (...) and quality of care associated with the treatment of cervical spine fractures was significantly altered by non-white race and (2) whether findings were different among those treated at academic medical centers (AMCs).The study comprised 10,841 patients.Surgical rate, postoperative morbidity, mortality, and length of stay (LOS) were the outcome measures.Baseline differences between cohorts were evaluated using chi-square or Wilcoxon rank sum tests. Logistic and negative binomial regression techniques were

2015 The Spine Journal

79. Surgical Therapy of Cervical Spine Fracture in Patients With Ankylosing Spondylitis. Full Text available with Trip Pro

to fracture segments, including 4 cases at C4 to C5, 8 cases at C5 to C6, and 13 cases at C6 to C7. Among them, 12 belonged to I type, 5 to II type, and 8 to III type based on the improved classification method for AS cervical spine fracture. The Subaxial Cervical Spine Injury Classification score for these patients was 7.2 ± 1.3, and the assessment of their neurological function states showed 6 patients (24%) were in American Spinal Injury Association (ASIA) A grade, 1 (4%) in ASIA B grade, 3 (12 (...) Surgical Therapy of Cervical Spine Fracture in Patients With Ankylosing Spondylitis. The present study aimed to explore surgical treatments and assess the effects based on the features of cervical spine fracture in patients with ankylosing spondylitis (AS) and to summarize the experiences in perioperative management. Retrospective analysis was performed in 25 AS patients with cervical spine fracture treated in our hospital from January 2011 to December 2013. The patients were divided according

2015 Medicine

80. Management of upper cervical spine fractures in elderly patients: current trends and outcomes. (Abstract)

Management of upper cervical spine fractures in elderly patients: current trends and outcomes. Upper cervical spine fractures in the elderly represent serious injuries. Their frequency is on the rise. Their early accurate diagnosis might be compromised by the existence of extensive degenerative changes and deformities. Adequate stabilisation allowing fracture healing is of paramount importance. However, the debate is ongoing as to the best protocol that can be applied taking into consideration (...) the presence of comorbidities and the increase risk of mortality in this frail patient population. A literature review, based on PubMed, related to protocols reporting on fracture fixation of the upper cervical spine, fractures (C1-C2) was carried out. Papers including information about type of fracture, treatment carried out, complication rates, mortality and morbidities were eligible to be included in this study. Fourteen papers met the inclusion criteria. Six reported on all types of injuries

2015 Injury

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>