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.

2,701 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

101. Cervical spine immobilisation in the elderly: a literature review. Full Text available with Trip Pro

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

102. Cervical fractures with associated spinal cord injury in children and adolescents: epidemiology, costs, and in-hospital mortality rates in 4418 patients Full Text available with Trip Pro

Cervical fractures with associated spinal cord injury in children and adolescents: epidemiology, costs, and in-hospital mortality rates in 4418 patients Cervical spine fractures with spinal cord injury (CFSCI) can be devastating. We describe the epidemiology of children and adolescents with CFSCI.Using the Nationwide Inpatient Sample (NIS) database, we identified 4418 patients (≤18 years old) who had CFSCI from 2000 through 2010. Outcomes of interest were patient characteristics (age, sex (...) ), injury characteristics [fracture location, spinal cord injury (SCI) pattern], economic variables (duration of hospital stay, total hospital charges), and mortality.Upper cervical fractures (UCFs) occurred half as often (31.4 %) as lower cervical fractures (LCFs; 68.8 %). Among patients <8 years old, 73.6 % had UCFs; among patients ≥8 years old, 72.3 % had LCFs. Overall, 68.7 % had incomplete SCI, 22.4 % had complete SCI, 6.6 % had central cord syndrome, and 2.3 % had anterior cord syndrome. Patients

2015 Journal of children's orthopaedics

103. III. Atlo-Occipital Dislocation: A Case of Fracture of the Atlas and Axis, and Forward Dislocation of the Occiput on the Spinal Column, Life being Maintained for Thirty-four Hours and Forty Minutes by Artificial Respiration, during which a Laminectomy was Full Text available with Trip Pro

III. Atlo-Occipital Dislocation: A Case of Fracture of the Atlas and Axis, and Forward Dislocation of the Occiput on the Spinal Column, Life being Maintained for Thirty-four Hours and Forty Minutes by Artificial Respiration, during which a Laminectomy was 17862147 2007 09 17 2008 11 20 0003-4932 47 5 1908 May Annals of surgery Ann. Surg. III. Atlo-Occipital Dislocation: A Case of Fracture of the Atlas and Axis, and Forward Dislocation of the Occiput on the Spinal Column, Life being Maintained (...) for Thirty-four Hours and Forty Minutes by Artificial Respiration, during which a Laminectomy was Performed upon the Third Cervical Vertebra. 654-8 Blackwood N J NJ eng Journal Article United States Ann Surg 0372354 0003-4932 1908 5 1 0 0 1908 5 1 0 1 1908 5 1 0 0 ppublish 17862147 PMC1414587

1908 Annals of Surgery

104. Subaxial Cervical Spine Injury Classification Systems Full Text available with Trip Pro

( ). FIGURE 5. Reformatted sagittal computed tomography views of cervical spine indicating vertical compression (VC) fracture stages 2 and 3 of Allen et al Classification. In VC stage 2 ( A ) there is cupping of superior and inferior end plates of C6 vertebral body and in VC stage 3 ( B) there is significant compression fracture of the vertebral body with protrusion of bone fragments into the spinal canal. The latter is an example of a burst fracture. FIGURE 5. Reformatted sagittal computed tomography (...) views of cervical spine indicating vertical compression (VC) fracture stages 2 and 3 of Allen et al Classification. In VC stage 2 ( A ) there is cupping of superior and inferior end plates of C6 vertebral body and in VC stage 3 ( B) there is significant compression fracture of the vertebral body with protrusion of bone fragments into the spinal canal. The latter is an example of a burst fracture. Distractive Flexion (DF) In distractive flexion injury, vector force is transmitted to the occiput while

2013 Congress of Neurological Surgeons

105. The Evaluation of the Effectiveness of CAM Treatments for Lumbar and Cervical Spine Pain Patients Due to Spinal Disease

and cervical spine pain patients due to spinal disease. Criteria Inclusion Criteria: Patients suffering from low back pain or Neck due to spinal disease Agree to the treatment of more than 2 months Age all(If under 18yr, Guardian's consent need) Volunteers do not have a problem with my speech as those who have signed the consent Exclusion Criteria: Diagnosis of serious disease(s) which are possible causes of back pain such as malignancy, vertebral fracture, spinal infection, inflammatory spondylitis, cauda (...) The Evaluation of the Effectiveness of CAM Treatments for Lumbar and Cervical Spine Pain Patients Due to Spinal Disease The Evaluation of the Effectiveness of CAM Treatments for Lumbar and Cervical Spine Pain Patients Due to Spinal Disease - 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

2013 Clinical Trials

106. Entrapment of a metal foreign body in the cervical spinal canal during surgical procedure: A case report. Full Text available with Trip Pro

in the cervical spinal canal.At 2-year follow-up, the metal fragment remained in situ and no delayed complications occurred.We reported a rare case of metal object retention in cervical spinal canal due to rongeur fatigue fractures. Under certain circumstances, retention of a small foreign object in spinal canal may not lead to neurological complications. If failed to remove an entrapped foreign body, it may be safe to leave it in the spinal canal for further observation. (...) Entrapment of a metal foreign body in the cervical spinal canal during surgical procedure: A case report. Retention of foreign objects in spinal canal usually results from penetrating spinal trauma or failed internal instruments. However, entrapment of a foreign body in cervical spinal canal during surgery is rare, and whether such an object may cause neurological complications remains unknown in literature.A 50-year-old man underwent C5 corpectomy and instrumentation surgery due to cervical

2018 Medicine

107. Pediatric Cervical Spine and Spinal Cord Injury: A National Database Study. (Abstract)

admissions and to identify independent risk factors for mortality among PCSI admissions.Over the past decade, the overall prevalence of traumatic PCSI was 2.07%, and the mortality rate was 4.87%. Most frequent cause of PCSI was transportation accidents, accounting for 57.51%. Upper cervical spine injury (C1-C4), cervical fracture with spinal cord injury, spinal cord injury without radiographic abnormality (SCIWORA), and dislocation showed a decreasing trend with age. Some comorbidities, including (...) Pediatric Cervical Spine and Spinal Cord Injury: A National Database Study. A retrospective administrative database analysis.The aim of this study was to investigate the incidence and characteristics of pediatric cervical spine injury (PCSI) utilizing the Kids' Inpatient Database (KID).PCSI is debilitating, but comprehensive analyses have been difficult due to its rarity. There have been a few database studies on PCSI; however, the studies employed databases that suffer from selection bias.The

2015 Spine

108. Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain

confirmation, which is potentially problematic at upper lumbar vertebrae. For example, a study performed in the thoracic spine found that misidentifica- tion of the targeted spinal level occurred between 16% and 43% of the time depending on the scanning technique, with IA at 6 weeks and 3 months Differences favoring MBB non- significant at 6 months. Cohen et al 134 Case- control 511 who under MBB (n=212), IA (n=212) or MBB and IA (n=87) before RFA MBB with 0.5–0.75 mL LA or IA with 0.5–1 mL LA+steroid MBB (...) of the seven Revel’s criteria (above) including pain reduction by recumbency resulted in 92% sensitivity and 80% specificity. Manchikanti et al 50 Prospective n=120 =75% pain reduction MBB (double comparative diagnostic blocks) The prevalence of clinical findings (pain better by sitting/lying, pain worsened by sitting/standing/walking/coughing/lumbar spine range of motion, positive straight leg raising test and pain referral pattern) were similar between positive and negative block groups. Back pain

2020 American Academy of Pain Medicine

109. Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain from a Multispecialty, International Working Group Full Text available with Trip Pro

), but no correlation was observed between facet joint pathology and RF outcomes. Younger age was correlated with a negative response to MBB (p=0.04), but no significant correlation was found between younger age and RF outcomes. Cohen et al performed studies in the lumbar (n=192) and cervical (n=92) spine regions designed to determine factors predictive of RFA outcome. In both studies, no association was found between the presence of significant facet joint pathology on MRI and denervation results. Finally, a small (...) of treatment is a source of contention and scientific debate. Regarding prevalence, the cited frequency of lumbar facet joint pain ranges from as low as 4.8% in the multicenter National Low Back Pain Survey evaluating final diagnoses of 2374 patients with low back pain (LBP) referred to an orthopedic or neurosurgical spine surgeon, to over 50% in systematic reviews on prevalence studies using varying criteria for diagnostic blocks performed by interventional pain physicians. The wide disparity in reported

2020 American Society of Regional Anesthesia and Pain Medicine

110. Clinical relationship between cervical spinal canal stenosis and traumatic cervical spinal cord injury without major fracture or dislocation. Full Text available with Trip Pro

Clinical relationship between cervical spinal canal stenosis and traumatic cervical spinal cord injury without major fracture or dislocation. The purpose of the study was to evaluate the clinical relationship between cervical spinal canal stenosis (CSCS) and incidence of traumatic cervical spinal cord injury (CSCI) without major fracture or dislocation, and to discuss the clinical management of traumatic CSCI.Forty-seven patients with traumatic CSCI without major fracture or dislocation (30 out (...) of 47 subjects; 63.83 %, had an injury at the C3-4 segment) and 607 healthy volunteers were measured the sagittal cerebrospinal fluid (CSF) column diameter at five pedicle and five intervertebral disc levels using T2-weighted midsagittal magnetic resonance imaging. We defined the sagittal CSF column diameter of less than 8 mm as CSCS based on the previous paper. We evaluated the relative and absolute risks for the incidence of traumatic CSCI related with CSCS.Using data from the Spinal Injury

2013 European Spine Journal

111. Incidence, circumstances, treatment and outcome of high-level cervical spinal fracture without associated spinal cord injury in New South Wales, Australia over a 12 year period. (Abstract)

Incidence, circumstances, treatment and outcome of high-level cervical spinal fracture without associated spinal cord injury in New South Wales, Australia over a 12 year period. No Australian population-based studies have examined temporal trends in the incidence of fracture of the first or second cervical vertebra (C1 or C2 fractures), their aetiology, treatment and outcome for younger (15-64 years) compared to older (65+ years) individuals. The aim of this research is to examine (...) the circumstances, treatment and outcomes including mortality for C1 or C2 fractures without associated spinal cord injury by age group in New South Wales (NSW), Australia.A retrospective review of C1 or C2 vertebra fractures in individuals aged 15 years and over in the NSW Admitted Patient Data Collection from 1 July 1998 to 30 June 2010. Direct age standardised admission rates were calculated by cervical fracture type and by age group. Negative binomial regression was used to examine the statistical

2014 Injury

112. Cervical spine assessment following trauma

, particularly when cervical spondylosis is present. 1,3 Potential serious injuries include vertebral body fracture, disc extrusion, cord contusion or compression, ligamentous rupture, epidural haematoma, facet displacement and vertebral or carotid arterial injury. The presence of cervical spine injury is often overt, indicated by neurologic deficit or radiographically demonstrated fracture or malalignment. Other more subtle injuries, such as occult cervical soft tissue disruption, or associated vertebral (...) injury is more common in patients with multiple injuries, isolated injury may occur following comparatively minor traumatic incidents. 1 A recent meta-analysis of 65 studies including almost 282 000 trauma patients, found that cervical spine injury occurs in 3.7% of patients overall, with 2.8% of alert patients and 7.7% of obtunded patients having an acute abnormality detected. Of the patients with cervical spine injury identified, 42% were found to have fracture, dislocation or pure discoligamentous

2012 Clinical Practice Guidelines Portal

113. Pre-and In-hospital First Aid Programs and Specifications for Spine and Spinal Cord Injury in Beijing of China

); Final diagnosis by spine CT and/or MRI; Cervical, thoracic and thoracolumbar fracture dislocation or without fracture dislocation but combined with spinal cord injury; No other injury involving life, injury severity score < 16; No anesthesia contraindication; No local skin infection, no severe soft tissue contusion, soft tissue condition of the operation area met the operation requirements; Age: 16-85 years old, irrespective of sex. Exclusion Criteria: Active or recent severe infection Severe (...) Pre-and In-hospital First Aid Programs and Specifications for Spine and Spinal Cord Injury in Beijing of China Pre-and In-hospital First Aid Programs and Specifications for Spine and Spinal Cord Injury in Beijing of China - 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

2017 Clinical Trials

114. Screw migration and oesophageal perforation after surgery for osteosarcoma of the cervical spine. Full Text available with Trip Pro

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.

2017 BMC Musculoskeletal Disorders

115. A Nearly Lethal Screw: An Unusual Cause of Recurrent Bradycardia and Asystole Episodes after Fixation of the Cervical Spine Full Text available with Trip Pro

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

2017 Case reports in critical care

116. Hypoglossal nerve paresis secondary to anterior approach of upper cervical spine followed by spontaneous recovery Full Text available with Trip Pro

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.

2017 Journal of Spine Surgery

117. Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends Full Text available with Trip Pro

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 (...) 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

2017 Surgical neurology international

118. Delayed bilateral vertebral artery occlusion after cervical spine injury: a case report Full Text available with Trip Pro

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

2016 Spinal cord series and cases

119. 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

120. 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 (...) of the cervical spine at levels C2-T1. The Aviator Anterior Cervical Plating System is intended for use as an aid in cervical spinal fusion and is intended for unilateral fixation. The Aviator plates are intended to be used with the Aviator bone screws. Study Outcomes: Radiological assessment (cervical spine x-ray and if needed, computed tomography (CT) at 1 year follow up)of fusion as the primary endpoint Arthrodesis rates assessed using CT (1 year follow up, if needed) and Anterior-Posterior (AP), lateral

2017 Clinical Trials

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