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Cervical Spine Fracture

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121. Esophageal perforation after anterior cervical spine surgery: a systematic review of the literature. (PubMed)

-85 years) who underwent anterior spinal surgery and sustained esophageal perforation, either during surgery or in a delayed fashion. The most common indications for initial anterior cervical spine surgery in these cases were vertebral fracture/dislocation (n = 77), spondylotic myelopathy (n = 15), and nucleus pulposus herniation (n = 10). The most commonly involved spinal levels were C5-6 (n = 51) and C6-7 (n = 39). The most common presenting symptoms included dysphagia (n =63), fever (n = 24 (...) Esophageal perforation after anterior cervical spine surgery: a systematic review of the literature. OBJECTIVE Esophageal perforation is a rare but well-known complication of anterior cervical spine surgery. The authors performed a systematic review of the literature to evaluate symptomatology, direct causes, repair methods, and associated complications of esophageal injury. METHODS A PubMed search that adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA

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2016 Journal of neurosurgery. Spine

122. Upper cervical spine injuries: indications and limits of the conservative management in Halo vest. A systematic review of efficacy and safety.

Upper cervical spine injuries: indications and limits of the conservative management in Halo vest. A systematic review of efficacy and safety. The integrity of the upper cervical spine is essential for survival and function, because of the neurovascular structures contained within its bony elements. Fractures of the upper cervical spine (C1-C2) are frequent. This systematic review assesses the efficacy and safety of the conservative management in Halo vest for patients with upper cervical spine (...) fractures.Two reviewers independently identified studies in English, by a systematic search of CINAHL, Embase, Medline, HealthSTAR, and the Cochrane Central Registry of Controlled Trials, from inception of each database to 28 January 2010, using various combinations of the keywords terms "odontoid fractures", hangman's fractures", "axis fractures", "axis", "atlas", "Jefferson fractures", "C1 arch fractures", "C1 fractures", "C2 fractures", "cervical spine", "injuries", "fracture", "trauma", "neck injury

2016 Injury

123. Initial Closed Reduction of Cervical Spinal Fracture-Dislocation Injuries

of the cervical spine in awake patients is recommended. Closed reduction in patients with an additional rostral injury is not recommended. Magnetic resonance imaging is recommended for patients with cervical spinal fracture dislocation injuries if they cannot be examined during closed reduction because of altered mental status or before either anterior or posterior surgical procedures when closed reduction has failed. Prereduction magnetic resonance imaging performed in patients with cervical fracture (...) dislocation injuries will demonstrate disrupted or herniated intervertebral disks in one-third to one-half of patients with facet subluxation injuries. These findings do not appear to influence outcome following closed reduction in awake patients, and therefore, the utility of pre-reduction MRI in this circumstance is uncertain. RATIONALE In the clinical scenario of traumatic cervical spine fractures and cervical facet dislocation injuries, narrowing of the spinal canal caused by displacement of fracture

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2013 Congress of Neurological Surgeons

124. Spine Surgery

: Instability of the cervical spine due to any of the following conditions, where instability is caused by the condition itself, or when treatment of the condition is anticipated to result in instability (i.e., resection or debridement) ? Tumor of the spine or spinal canal ? Infection (osteomyelitis, discitis, or spinal abscess) ? Fracture or dislocation; may be traumatic or pathologic ? Symptomatic, non-traumatic cervical spondylosis as demonstrated by either of the following radiographic findings: o (...) ., subsidence, surrounding radiolucency, dislocation/subluxation, vertebral body fracture or hardware breakage) Progressive neck pain or deformity following prior posterior cervical decompressive laminectomy or laminoplasty Cervical laminoplasty may be indicated for treatment of following conditions: Multilevel Spinal stenosis of the cervical spine, when all of the following requirements are met: ? Clinical signs and symptoms of myelopathy which may include: loss of dexterity, urinary urgency, new-onset

2018 AIM Specialty Health

125. Appropriate Use Criteria: Imaging of the Spine

Anatomic Coverage ? Entire cervical spine (C1-C7), from the craniocervical junction through the T1 vertebra ? Axial images are routinely obtained, with capability for coronal and sagittal reconstructions Imaging Considerations ? MRI is the modality of choice for most cervical spine imaging indications, unless contraindicated or not tolerated by the patient (for example, secondary to claustrophobia) ? CT is the preferred technique for certain clinical scenarios such as suspected fracture, follow-up (...) of known fracture, osseous tumor evaluation and congenital vertebral defects, as well as procedures such as cervical spine CT myelography ? Do not use CT cervical spine for imaging of the soft tissues of the neck. See CPT codes 70490-70492 CT soft tissue neck for this service Common Diagnostic Indications MRI is the preferred modality for most cervical spine imaging, except for a few indications which include CT evaluation of bony abnormalities (such as suspected fracture or fracture follow-up; osseous

2018 AIM Specialty Health

126. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

-thirds of the participants (67%) had separate protocols regarding aspirin (acetylsalicylic acid [ASA]) or nonsteroidal anti-inflammatory drugs (NSAIDs). Moreover, 55% stopped ASA before spinal cord stimulation (SCS) trials and implants, and 32% stopped ASA before epidural steroid injections (ESIs). However, 17% admitted that they used different protocols for cervical spine injections as compared with lumbar spine injections. Most did not express familiarity with selective serotonin reuptake (...) decreases with age. The amount of epidural fat according to spinal location increases with caudal progression, being absent in the cervical spine and highest in the lumbosacral spinal region. Epidural lipomatosis (ie, excessive hypertrophy and abnormal accumulation of epidural fat) may also be seen with long-term exogenous steroid use, obesity, and ESIs. The size of the epidural space also varies based on anatomical level with the posterior epidural space measuring approximately 0.4 mm at C7–T1, 7.5 mm

2018 American Society of Regional Anesthesia and Pain Medicine

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

neurologic outcomes, ranging from 3.4 of 10,000 to 550 of 10,000 (Table 2). Schubl et al., [ ] who examined patients with firearm injury to the head and/or neck, concluded that cervical spine immobilization might be of value; however, of the two patients with unstable fractures, while one of them developed transient neurologic symptoms, it was later in the course and would not have been affected by prehospital care. Arishita et al. [ ] noted that intubation takes two EMS providers 5.64 + 1.49 minutes (...) . 2000;49(5):860–863. Lustenberger T, Talving P, Lam L, Kobayashi L, Inaba K, Plurad D, Branco BC, Demetriades D. Unstable cervical spine fracture after penetrating neck injury: a rare entity in an analysis of 1,069 patients. J Trauma . 2011;70(4):870–872. Medzon R, Rothernhaus T, Bono CM, Grindlinger G, Rathlev NK. Stability of cervical spine fractures after gunshot wounds to the head and neck. Spine . 2005;30(20):2274–2279. Ramasamy A, Midwinter M, Mahoney P, Clasper J. Learning the lessons from

2018 Eastern Association for the Surgery of Trauma

128. Lower Cervical Spine Fractures and Dislocations (Diagnosis)

Lower Cervical Spine Fractures and Dislocations (Diagnosis) Lower Cervical Spine Fractures and Dislocations: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2NDA2NS1vdmVydmlldw== processing > Lower Cervical Spine Fractures and Dislocations Updated: Mar 01, 2017 Author: J Allan Goodrich, MD; Chief Editor: Jeffrey A Goldstein, MD Share Email Print Feedback Close Sections Sections Lower Cervical Spine Fractures and Dislocations Overview Background Injuries of the subaxial cervical spine (C3-7) are among the most common and potentially most devastating injuries involving the axial skeleton. The cervical spine often is injured in motor vehicle accidents and falls

2014 eMedicine Surgery

129. Lower Cervical Spine Fractures and Dislocations (Follow-up)

Lower Cervical Spine Fractures and Dislocations (Follow-up) Lower Cervical Spine Fractures and Dislocations Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2NDA2NS10cmVhdG1lbnQ= processing > Lower Cervical Spine Fractures and Dislocations Treatment & Management Updated: Mar 01, 2017 Author: J Allan Goodrich, MD; Chief Editor: Jeffrey A Goldstein, MD Share Email Print Feedback Close Sections Sections Lower Cervical Spine Fractures and Dislocations Treatment Approach Considerations The primary indications for surgical intervention in subaxial cervical injuries include the following: Malalignment of the spine, with or without neurologic deficits Progressive neurologic

2014 eMedicine Surgery

130. Fracture, Cervical Spine (Follow-up)

Fracture, Cervical Spine (Follow-up) Cervical Spine Fracture Evaluation: Practice Essentials, Flexion Injury, Flexion-rotation Injury Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI0MzgwLW92ZXJ2aWV3 processing (...) > Cervical Spine Fracture Evaluation Updated: Aug 18, 2017 Author: Moira Davenport, MD; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Cervical Spine Fracture Evaluation Overview Practice Essentials Approximately 5-10% of unconscious patients who present to the ED as the result of a motor vehicle accident or fall have a major injury to the cervical spine. Most cervical spine fractures occur predominantly at 2 levels: one third of injuries occur at the level

2014 eMedicine Emergency Medicine

131. Fracture, Cervical Spine (Treatment)

Fracture, Cervical Spine (Treatment) Cervical Spine Fracture Evaluation: Practice Essentials, Flexion Injury, Flexion-rotation Injury Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI0MzgwLW92ZXJ2aWV3 processing (...) > Cervical Spine Fracture Evaluation Updated: Aug 18, 2017 Author: Moira Davenport, MD; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Cervical Spine Fracture Evaluation Overview Practice Essentials Approximately 5-10% of unconscious patients who present to the ED as the result of a motor vehicle accident or fall have a major injury to the cervical spine. Most cervical spine fractures occur predominantly at 2 levels: one third of injuries occur at the level

2014 eMedicine Emergency Medicine

132. Lower Cervical Spine Fractures and Dislocations (Treatment)

Lower Cervical Spine Fractures and Dislocations (Treatment) Lower Cervical Spine Fractures and Dislocations Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2NDA2NS10cmVhdG1lbnQ= processing > Lower Cervical Spine Fractures and Dislocations Treatment & Management Updated: Mar 01, 2017 Author: J Allan Goodrich, MD; Chief Editor: Jeffrey A Goldstein, MD Share Email Print Feedback Close Sections Sections Lower Cervical Spine Fractures and Dislocations Treatment Approach Considerations The primary indications for surgical intervention in subaxial cervical injuries include the following: Malalignment of the spine, with or without neurologic deficits Progressive neurologic

2014 eMedicine Surgery

133. Lower Cervical Spine Fractures and Dislocations (Overview)

Lower Cervical Spine Fractures and Dislocations (Overview) Lower Cervical Spine Fractures and Dislocations: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2NDA2NS1vdmVydmlldw== processing > Lower Cervical Spine Fractures and Dislocations Updated: Mar 01, 2017 Author: J Allan Goodrich, MD; Chief Editor: Jeffrey A Goldstein, MD Share Email Print Feedback Close Sections Sections Lower Cervical Spine Fractures and Dislocations Overview Background Injuries of the subaxial cervical spine (C3-7) are among the most common and potentially most devastating injuries involving the axial skeleton. The cervical spine often is injured in motor vehicle accidents and falls

2014 eMedicine Surgery

134. Fracture, Cervical Spine (Diagnosis)

Fracture, Cervical Spine (Diagnosis) Cervical Spine Fracture Evaluation: Practice Essentials, Flexion Injury, Flexion-rotation Injury Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI0MzgwLW92ZXJ2aWV3 processing (...) > Cervical Spine Fracture Evaluation Updated: Aug 18, 2017 Author: Moira Davenport, MD; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Cervical Spine Fracture Evaluation Overview Practice Essentials Approximately 5-10% of unconscious patients who present to the ED as the result of a motor vehicle accident or fall have a major injury to the cervical spine. Most cervical spine fractures occur predominantly at 2 levels: one third of injuries occur at the level

2014 eMedicine Emergency Medicine

135. Fracture, Cervical Spine (Overview)

Fracture, Cervical Spine (Overview) Cervical Spine Fracture Evaluation: Practice Essentials, Flexion Injury, Flexion-rotation Injury Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI0MzgwLW92ZXJ2aWV3 processing (...) > Cervical Spine Fracture Evaluation Updated: Aug 18, 2017 Author: Moira Davenport, MD; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Cervical Spine Fracture Evaluation Overview Practice Essentials Approximately 5-10% of unconscious patients who present to the ED as the result of a motor vehicle accident or fall have a major injury to the cervical spine. Most cervical spine fractures occur predominantly at 2 levels: one third of injuries occur at the level

2014 eMedicine Emergency Medicine

136. Commentary on the management of type II odontoid process fractures in octogenarians: Article by Graffeo et al. and Editorial by Falavigna (J Neurosurgery Spine August 19, 2016) (PubMed)

Commentary on the management of type II odontoid process fractures in octogenarians: Article by Graffeo et al. and Editorial by Falavigna (J Neurosurgery Spine August 19, 2016) Establishing a clear treatment paradigm for octogenarians with type II odontoid fractures in hampered by a literature replete with level III articles.In the study by Graffeo et al., the authors evaluated 111 patients over the age of 79 (average age: 87) with type II odontoid fractures undergoing nonoperative (94 patients (...) cervical fractures, mechanisms of injury, GCS of 8 or under, AIS/ISS scores, and disposition to "nonhome" facilities. Furthermore, both appeared to have increased mortality rates at 1-year post injury; 13% during hospitalization, 26% within the first post-injury month, and 41% at 1 year.In the editorial by Falavigna, his major criticism of Graffeo's article was the marked disparity in the number of patients in the operative (17 patients) vs. the nonoperative group (94 patients), making it difficult

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2016 Surgical neurology international

137. Measurement of kyphosis and vertebral body height loss in traumatic spine fractures: an international study. (PubMed)

Measurement of kyphosis and vertebral body height loss in traumatic spine fractures: an international study. To investigate whether wide variations are seen in the measurement techniques preferred by spine surgeons around the world to assess traumatic fracture kyphosis and vertebral body height loss (VBHL).An online survey was conducted at two time points among an international community of spine trauma experts from all world regions. The first survey (TL-survey) focused on the thoracic (...) , thoracolumbar and lumbar spine, the second survey (C-survey) on the subaxial cervical spine. Participants were asked to indicate which measurement technique(s) they used for measuring kyphosis and VBHL. Descriptive statistics, frequency analysis and the Fisher exact test were used to analyze the responses.Of the 279 invited experts, 107 (38.4 %) participated in the TL-survey, and 108 (38.7 %) in the C-survey. The Cobb angle was the most frequently used for all spine regions to assess kyphosis (55.6-75.7

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2016 European Spine Journal

138. Health-care costs of conservative management of spine fractures in trauma patients. (PubMed)

on relevant diagnostic codes. Inclusion criteria were: (1) spine fractures (C1-L5); (2) age >18; and (3) conservative treatment. Exclusion criteria were: (1) neurological involvement and (2) fractures secondary to osteoporosis/malignancy. Health-care utilization and costs were retrieved from national administrative databases covering the entire health-care sector.201 cervical, 150 thoracic, and 140 lumbar fracture patients were included in the study. The total health cost was estimated at €18,919 (16,199 (...) Health-care costs of conservative management of spine fractures in trauma patients. There is a lack of evidence on the broad health-care costs of treating spine trauma patients without neurological deficits conservatively. The aim of the present study was to estimate the primary and secondary health-care sector costs associated with conservative treatment of spine fractures as well as their determinants.Patients were identified between 1999 and 2008 in the hospital's administrative system based

2016 European Spine Journal

139. AIM Clinical Appropriateness Guidelines for Spine Surgery

., resection or debridement) ? Tumor of the spine or spinal canal ? Infection (osteomyelitis, discitis, or spinal abscess) ? Fracture or dislocation; may be traumatic or pathologic ? Symptomatic, non-traumatic cervical spondylosis as demonstrated by either of the following radiographic findings: o Sagittal plane angulation of greater than 11 degrees between adjacent segments o Subluxation or translation of greater than 3 mm on static lateral views or dynamic radiographs Spondylotic cervical myelopathy when (...) AIM Clinical Appropriateness Guidelines for Spine Surgery Appropriate.Safe.Affordable © 2017 AIM Specialty Health 2062-0617 v.1 Spine Surgery Guidelines Musculoskeletal Program Spine Surgery EFFECTIVE NOVEMBER 1, 2017 LAST REVIEWED JUNE 13, 2017 Copyright © 2017. AIM Specialty Health. All Rights Reserved. Spine Surgery 2 Table of Contents Description and Application of the Guidelines 4 Cervical Decompression With or Without Fusion 5 Description 5 Definitions 6 Criteria 7 Exclusions 8 Selected

2017 AIM Specialty Health

140. Cervical fracture from chronic steroid usage presenting as a stroke: A case report (PubMed)

in care that lead to an exacerbated hemiparesis over the following week.We present a patient with an occult cervical spine fracture with extension of the neck, caused by reduced bone density from a chronic steroid regimen. Nine days after the initial onset of her neurological symptoms, the patient presented to the ED with the complaint of left sided weakness and right-sided sensory loss. She was determined to have a left- sided Brown Séquard syndrome, which resolved following anterior cervical (...) Cervical fracture from chronic steroid usage presenting as a stroke: A case report Misdiagnosis of Brown-Séquard-like presentations can delay treatment; potentially endangering the positive outcomes a patient might otherwise have had. Stroke mimics can be perceived as signaling the end of urgent investigation and care once stroke is ruled out; however, stroke mimics themselves can require prompt care. Herein, we discuss an extremely rare case where stroke was ruled out, resulting in a lapse

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2016 International journal of surgery case reports

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