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Cervical Spine Fracture

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61. BIO4 Clinical Case Study: Cervical Spine

of this study is to investigate the efficacy of BIO4 bone matrix in patients undergoing 1 or 2-level Anterior Cervical Discectomy and Fusion (ACDF) spine surgery. Specifically, the study aims to collect the data for ACDF model utilizing BIO4 with Bio AVS Cervical Allograft (with graft window). Condition or disease Intervention/treatment Phase Degenerative Disc Disease Trauma (Including Fractures) Spondylolisthesis Biological: 1 or 2-Level ACDF utilizing BIO4 with Bio AVS Cervical Allograft (with graft (...) BIO4 Clinical Case Study: Cervical Spine BIO4 Clinical Case Study: 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. BIO4 Clinical Case Study: Cervical Spine The safety and scientific validity

2017 Clinical Trials

62. Screw migration and oesophageal perforation after surgery for osteosarcoma of the cervical spine. (PubMed)

Screw migration and oesophageal perforation after surgery for osteosarcoma of the cervical spine. Even though internal fixation has expanded the indications for cervical spine surgery, it carries the risks of fracture or migration, with associated potential life threatening complications. Removal of metal work from the cervical spine is required in case of failure of internal fixation, but it can become challenging, especially when a great amount of scar tissue is present because of previous (...) -irradiation fibrosis.Screw migration and oesophageal perforation after cervical spine surgery are uncommon potentially life-threatening occurrences. Revision surgery may be challenging and it requires special skills.

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2017 BMC Musculoskeletal Disorders

63. NICE Guidelines for Cervical Spine Evaluation in RTA

NICE Guidelines for Cervical Spine Evaluation in RTA NICE Guidelines for Cervical Spine Evaluation in RTA - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology NICE Guidelines for Cervical Spine Evaluation in RTA NICE Guidelines for Cervical Spine Evaluation in RTA Sumer Sethi About Dr. Sumer Sethi Number of Entries : 35 Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology (...) featured in multiple international journals. Musculoskeletal radiology No comments: Subscribe to: Search This Blog Labels Popular Posts Teaching points by Dr MGK Murthy Pedicloryl has now become omnipresent in all Radiology departments for sedating children. Chemic... Young adult presented with lateral force injury and right nasal bone tenderness pictures show possible high fracture of right side better ... We live in an era where a scientist has to think about being politically correct. Think about

2017 Sumer's Radiology Blog

64. Incorporating ligament laxity in a finite element model for the upper cervical spine. (PubMed)

values are not directly available in the literature for use in FE models.The purpose of the current study is to propose an optimization process that can be used to determine a set of ligament laxity values for upper cervical spine FE models. Furthermore, an FE model that includes ligament laxity is applied, and the resulting ROM values are compared with experimental data for physiological ROM, as well as experimental data for the increase in ROM when a Type II odontoid fracture is introduced.The (...) Incorporating ligament laxity in a finite element model for the upper cervical spine. Predicting physiological range of motion (ROM) using a finite element (FE) model of the upper cervical spine requires the incorporation of ligament laxity. The effect of ligament laxity can be observed only on a macro level of joint motion and is lost once ligaments have been dissected and preconditioned for experimental testing. As a result, although ligament laxity values are recognized to exist, specific

2017 The Spine Journal

65. Traumatic multiple cervical spine injuries in a patient with osteopetrosis and its management. (PubMed)

Traumatic multiple cervical spine injuries in a patient with osteopetrosis and its management. Single case report.To report multiple level fractures of cervical spine in a patient with osteopetrosis and its management. Osteopetrosis is a rare inherited condition characterized by defective remodeling resulting in hard and brittle bones with diffuse osteosclerosis. Fractures of spine are rare as compared to the common long bone fractures. We report a case of traumatic multiple level fractures (...) fractures of cervical vertebrae with end plate sclerosis. Patient was managed with cervical skeletal traction in appropriate extension position for 6 weeks followed by hard cervical collar for another 6 weeks. Follow-up radiographs at 18 months and 2.5 years showed healed fractures with no residual instability or symptoms.The case report discusses rare occurrence of multiple level fractures of cervical spine following trivial injury to the neck in a patient with osteopetrosis and its treatment

2017 European Spine Journal

66. Diagnostic value of technetium-99m bone scintigraphy in the detection of cervical spine metastases in oncological patients. (PubMed)

fractures, the location of the primary malignancy, and the number of cervical metastases.The sensitivity of BS in the detection of cervical spine metastases was 59.1%, with a 40.9% rate of false-negative diagnoses; the specificity was 94.6%, with a 5.4% rate of false-positive diagnoses. The sensitivity tended to be higher in the presence of pathological fractures (72.1% in cases with a fracture vs. 3% in cases without a fracture) and a greater number of lesions (r = 0.921). Neither the order in which (...) Diagnostic value of technetium-99m bone scintigraphy in the detection of cervical spine metastases in oncological patients. MINI: Bone scan remains the modality of choice for the screening of bone metastases. This study demonstrated the diagnostic value of bone scan in detecting bone metastases limited to the cervical spine in oncological patients remains uncertain due to the moderately high false-negative diagnostic rate.A retrospective cohort, radiographic study.To assess the diagnostic

2017 Spine

67. The Confounding Burden of Psychological Impairments in Cervical Spine Surgery

The Confounding Burden of Psychological Impairments in Cervical Spine Surgery The Confounding Burden of Psychological Impairments in 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 (...) . The Confounding Burden of Psychological Impairments in Cervical Spine Surgery 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. ClinicalTrials.gov Identifier: NCT03183713 Recruitment Status : Recruiting First Posted : June 12, 2017 Last Update Posted : December 28

2017 Clinical Trials

68. Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends (PubMed)

and absent sensation distal to the C5 dermatome following a rollover motor vehicle accident. The preoperative American Spinal Injury Association Impairment Scale was A. Computed tomography of the cervical spine revealed C5-6 spondyloptosis, lamina fractures on the right side at the C3-4 level, and widened facet joint on the right side at C6-7.The patient underwent cervical traction and anterior cervical discectomy and fusion at the C5-6, C6-7 levels; no 360° fusion was warranted. Six months (...) Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends Cervical spondyloptosis is defined as the dislocation of the spinal column most often caused by trauma. Due to compression or transection of the spinal cord, severe neurological deficits are common. Here, we review the literature and report a case of traumatic C5-6 spondyloptosis that was successfully treated using an anterior-only surgical approach.The patient presented with quadriplegia

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2017 Surgical neurology international

69. Hypoglossal nerve paresis secondary to anterior approach of upper cervical spine followed by spontaneous recovery (PubMed)

Hypoglossal nerve paresis secondary to anterior approach of upper cervical spine followed by spontaneous recovery We describe an exceptional complication of cervical spine surgery in a 63-year-old male. He suffered the impact of a beam to the top of his head. During evaluation in the emergency room he reported intense neck pain with no other neurological symptoms or findings on physical examination. Spine computed tomography (CT) showed C3 vertebral body fracture that required surgical (...) stabilization. A right side anterior approach to upper cervical spine with C3 corpectomy and placement of iliac bone autograft was performed. After surgery the patient presented dysphagia, dysarthria and limitation tongue mobility to the right side. These findings were consistent with hypoglossal neuropraxia probably related to soft tissue traction generated by the upper part of the self-retaining retractor. After discharge the patient experienced spontaneous improvement of hypoglossal paresis.

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2017 Journal of Spine Surgery

70. A Nearly Lethal Screw: An Unusual Cause of Recurrent Bradycardia and Asystole Episodes after Fixation of the Cervical Spine (PubMed)

A Nearly Lethal Screw: An Unusual Cause of Recurrent Bradycardia and Asystole Episodes after Fixation of the Cervical Spine We present a case of a 51-year-old man who was injured in a bicycle accident. His main injury was an unstable fracture of the cervical and thoracic vertebral column. Several hours after his arrival to the hospital the patient underwent open reduction and internal fixation (ORIF) of the cervical and thoracic spine. The patient was hospitalized in our critical care unit (...) for 99 days. During this time patient had several episodes of severe bradycardia and asystole; some were short with spontaneous return to sinus and some required pharmacological treatment and even Cardiopulmonary Resuscitation (CPR). Initially, these episodes were attributed to the high cervical spine injury, but, later on, CT scan suggested that a fixation screw abutted on the esophagus and activated the vagus nerve by direct pressure. After repositioning of the cervical fixation, the bradycardia

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2017 Case reports in critical care

71. Polyostotic fibrous dysplasia of the cervical spine: case report and review of the literature. (PubMed)

Polyostotic fibrous dysplasia of the cervical spine: case report and review of the literature. Multiple lytic lesions of the spine usually represent metastatic or infectious disease processes.To describe an extremely rare presentation of an uncommon disease process.Case report/university hospital.We describe the management of a patient who presented with a pathological fracture of C3 and multiple lytic lesions of the cervical spine.After reconstructive surgery, the final pathological diagnosis (...) was fibrous dysplasia.Fibrous dysplasia is rarely seen in the cervical spine and may mimic other pathological processes. The surgical and medical management of spinal fibrous dysplasia is described.

2017 The Spine Journal

72. Management of Pediatric Cervical Spine and Spinal Cord Injuries

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 (...) (< 4 weeks duration) that does not reduce spontaneously. Reduction with halter or tong/halo traction is recommended for patients with chronic AARF (> 4 weeks duration). Internal fixation and fusion are recommended in patients with recurrent and/or irreducible AARF. Consideration of primary operative therapy is recommended for isolated ligamentous injuries of the cervical spine and unstable or irreducible fractures or dislocations with associated deformity. Operative therapy is recommended

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2013 Congress of Neurological Surgeons

73. Subaxial Cervical Spine Injury Classification Systems

, thus communicating a greater amount of information regarding the extent of the patient's injury. Its overall inter-rater reliability has an intraclass correlation coefficient of 0.71. The Cervical Spine Injury Severity Score (CSISS) is recommended as a classification system for graded instability and fracture patterns in patients with spinal cord injury. Although there is excellent reliability, (intraobserver and interobserver intraclass correlation coefficients for 15 reviewers were 0.977 (...) . The Allen classification of subaxial spinal injury is not recommended for describing the mechanistic and imaging findings in cervical spine and spinal cord injury due to its low reliability (intraclass correlation coefficient of 0.53). Fortunately, this classification system is not in widespread use. RATIONALE Cervical spine fractures and fracture dislocations are heterogeneous in pattern and pathogenesis, and difficult to classify. Traditionally, based upon visual (imaging) appearance and a number

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2013 Congress of Neurological Surgeons

74. 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

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2013 Congress of Neurological Surgeons

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

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 (...) 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

2017 European Spine Journal

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

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

77. Spine and Spinal Cord Injury Associated with a Fracture in Elderly Patients with Ankylosing Spondylitis (PubMed)

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

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2017 Neurologia medico-chirurgica

78. The Burden of Spine Fractures in India: A Prospective Multicenter Study (PubMed)

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

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2017 Global spine journal

79. Fragility Fracture Risk in Elderly Patients with Cervical Myelopathy. (PubMed)

falls.Records of elderly patients with Medicare insurance from 2005 to 2014 were retrospectively reviewed. Three mutually exclusive populations of patients were identified for analysis, including a cohort of patients with a diagnosis of CSM who were not treated with surgery; a cohort of patients with CSM who were treated with surgery; and a group of control patients who had never been treated with cervical spine surgery nor were diagnosed with CSM. Incidence of fractures of the distal radius, proximal (...) humerus, proximal femur, and lumbar spine were assessed and compared between cohorts, adjusted by age, sex, osteoporosis, dementia, cerebrovascular disease, and Charlson Comorbidity Index.A total of 891,864 patients were identified, of which 60,332 had a diagnosis of CSM and 24,439 underwent cervical spine surgery. Compared to general population controls, the 12-month adjusted odds of experiencing at least one fragility fracture were 1.59 times higher in patients with CSM who were not treated

2018 Spine

80. Management of Severe Lower Cervical Facet Dislocation without Vertebral Body Fracture Using Skull Traction and an Anterior Approach (PubMed)

Management of Severe Lower Cervical Facet Dislocation without Vertebral Body Fracture Using Skull Traction and an Anterior Approach 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. Road traffic accident was the primary cause of injury. Patients presented with dislocated segments in C3-C4 (n=4), C4-C5 (n=4), C5-C6 (n=12), and C6-C7 (n=20). Twenty-six patients had unilateral facet dislocation, and 14 patients had bilateral facet dislocation. Spinal injuries were graded according to the American Spinal Injury Association (ASIA) impairment scale and included

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2018 Medical science monitor : international medical journal of experimental and clinical research

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