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.

2,741 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

121. Hypoglossal nerve paresis secondary to anterior approach of upper cervical spine followed by spontaneous recovery (Full text)

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 PubMed abstract

122. Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends (Full text)

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 PubMed abstract

123. Delayed bilateral vertebral artery occlusion after cervical spine injury: a case report (Full text)

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 PubMed abstract

124. 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

125. 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

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

) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Patients at Risk: Diagnosed of primary symptomatic cervical degenerative disc disease confirmed with appropriate imaging studies. Etiologies will be limited to cervical disc herniation, spinal stenosis, low-grade (I and II) spondylolisthesis, spondylosis and degenerative disc disease. Will be undergoing elective cervical spine surgery, not to exceed 5 levels. Presence of both axial (neck pain) and appendicular (...) . Will be undergoing elective cervical spine surgery, not to exceed 5 levels. Presence of both axial (neck pain) and appendicular (arm pain/dysesthesia/weakness) symptoms, regardless of proportion Subject must be able to be contacted by telephone during study participation NDI > 20% Read and comprehend English Exclusion Criteria: Exclusion Criteria for patients at risk: Contraindicated to surgical treatment of the cervical spine. Prior cervical fusion Evidence of severe cervical spinal deformity based on Ames

2017 Clinical Trials

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

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

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

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

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

spinal metastases from a primary cancer. The BS findings of these patients, evaluated by nuclear medicine physicians, were assessed with respect to their usefulness for detecting cervical spine metastases. Magnetic resonance imaging findings, evaluated by radiologists, were used as the reference standards. The diagnostic value of BS was compared between subgroups according to the order in which the diagnostic procedures (magnetic resonance imaging and BS) were completed, the presence of pathological (...) 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

2017 Spine

130. The mechanism in junctional failure of thoraco-lumbar fusions. Part I: Biomechanical analysis of mechanisms responsible of vertebral overstress and description of the cervical inclination angle (CIA). (Abstract)

The mechanism in junctional failure of thoraco-lumbar fusions. Part I: Biomechanical analysis of mechanisms responsible of vertebral overstress and description of the cervical inclination angle (CIA). The purpose of the study is to describe the biomechanical theory explaining junctional breakdowns in thoraco-lumbar fusions, by taking the example of vertebral compression fractures. Also, a new angle, the cervical inclination angle (CIA), describing the relative position of the head at each (...) inclination is correlated with the C7 slope, and because the latter defines the cervical curve as previously shown, the T1-T5 segment can be considered as the base from which the cervical spine originates. Its role is, thus, similar to the pelvis and its sacral slope, which is the base from which the lumbar spine originates. The CIA along with the ODHA, which describes the adequacy of the global balance in young and elderly asymptomatic populations, are two important parameters that could help us

2017 European Spine Journal

131. ACR–ASNR–SCBT-MR Practice Parameter for the Performance of Magnetic Resonance Imaging (MRI) of the Adult Spine

, and combined CT-myelography. Compared with these other modalities, MRI does not use ionizing radiation. This is particularly advantageous in the lumbar area, where gonadal exposure may occur, and in the cervical spine to avoid radiation to the thyroid. Myelography requires an invasive procedure to introduce intrathecal contrast agents. Both the puncture and the contrast agent can produce side effects and rarely significant adverse reactions. MRI allows direct visualization of the spinal cord, nerve roots (...) , including abscess 4. Vascular disorders a. Spinal vascular malformations and/or the cause of occult subarachnoid hemorrhage b. Spinal cord infarction c. Extraspinal vascular malformations and neoplasms PRACTICE PARAMETER 3 MRI Adult Spine 5. Degenerative conditions a. Degenerative disc disease and its sequelae in the lumbar, thoracic, and cervical spine, including myelopathy b. Disc herniation and radiculopathy c. Neurodegenerative disorders, such as subacute combined degeneration, spinal muscular

2019 American Society of Neuroradiology

132. ACR–ASNR–ASSR–SPR Practice Parameter for the Performance of Computed Tomography (CT) of the Spine

in and is considered a primary imaging evaluation of acute spine trauma in adults. CT can be used for evaluating vertebral compression/insufficiency fractures in both acute and chronic clinical situations [1-14] 2. Given that the vast majority of cervical spine injuries in young children (especially those <3 years old) are of soft tissue rather than bone and considering the special vulnerability of this patient population to radiation, it should be recognized that the use of CT in this population may be of limited (...) . Comparison of CT myelography performed in the prone and supine positions in the detection of cervical spinal stenosis. Clin Radiol. 2001;56(1):35-39. 17. Falco FJ, Moran JG. Lumbar discography using gadolinium in patients with iodine contrast allergy followed by postdiscography computed tomography scan. Spine (Phila Pa 1976). 2003;28(1):E1-4. 18. Ilkko E, Lahde S, Heiskari M. Thin-section CT in the examination of cervical disc herniation. A prospective study with 1-mm axial and helical images. Acta

2019 American Society of Neuroradiology

133. AIM Clinical Appropriateness Guidelines for Spine Surgery

for realigning the spine as part of a spinal deformity correction. These procedures may be required for congenital, developmental, and degenerative spinal deformities. Corpectomy -- Corpectomy typically reflects a longitudinal resection of the vertebral body from disc space to disc space often resulting in a destabilization of the complex. In the cervical spine, at least 50% of the vertebral body is removed. In the thoracic/lumbar spine, at least 30% of the corpus is removed. Copyright © 2019. AIM Specialty (...) Health. All Rights Reserved. Spine Surgery 7 Criteria Cervical decompression with or without fusion may be indicated to treat any of the following conditions: 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

2019 AIM Specialty Health

134. Spine imaging

Infectious and Inflammatory Conditions 12 Juvenile idiopathic arthritis (Pediatric only) 12 Multiple sclerosis or other white matter disease 12 Rheumatoid arthritis (Adult only) 12 Spinal infection 13 Spondyloarthropathy 13 Trauma 14 Cervical injury 14 Thoracic or lumbar injury 14 Tumor 15 Tumor 15 Miscellaneous Conditions of the Spine 15 Osteoporosis and osteopenia 15 Spinal cord infarction 16 Spondylolysis and spondylolisthesis 16 Syringomyelia 16 Signs and Symptoms 16 Cauda equina syndrome 16 (...) . IMAGING STUDY - Ultrasound required for initial evaluation in infants age 5 months or younger - MRI cervical, thoracic, or lumbar spine - CT thoracic or lumbar spine when MRI contraindicated Rationale Spinal dysraphism is a term used to describe a broad spectrum of disorders characterized by incomplete or absent midline fusion of the dorsal spinal elements (spina bifida), neural structures, or both. Examples include open (communicating with the nerve roots) and closed dysraphisms including myelocele

2019 AIM Specialty Health

135. Suspected Spine Trauma ? Child

. Spiral computed tomography for the diagnosis of cervical, thoracic, and lumbar spine fractures: its time has come. J Trauma 2005;58:890-5; discussion 95-6. 47. Sixta S, Moore FO, Ditillo MF, et al. Screening for thoracolumbar spinal injuries in blunt trauma: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012;73:S326-32. 48. Henry M, Riesenburger RI, Kryzanski J, Jea A, Hwang SW. A retrospective comparison of CT and MRI in detecting pediatric (...) AS, Prevedello DM, Shaffrey CI, Jane JA, Jr. Cervical spine injuries in pediatric athletes: mechanisms and management. Neurosurg Focus 2006;21:E6. 21. Huber AM, Gaboury I, Cabral DA, et al. Prevalent vertebral fractures among children initiating glucocorticoid therapy for the treatment of rheumatic disorders. Arthritis Care Res (Hoboken) 2010;62:516-26. 22. Rodd C, Lang B, Ramsay T, et al. Incident vertebral fractures among children with rheumatic disorders 12 months after glucocorticoid initiation

2019 American College of Radiology

136. Incidence of traumatic cervical spine fractures in the Norwegian population: a national registry study. (Full text)

Incidence of traumatic cervical spine fractures in the Norwegian population: a national registry study. The incidence of cervical spine fractures (CS-fx) in the general population is sparingly assessed. The aim of the current study was to estimate the incidence of traumatic CS-fx and of open surgery of cervical spine injuries in the Norwegian population.The Norwegian Patient Register (NPR) is an administrative database that contains activity data from all Norwegian government-owned hospitals (...) met our criteria for severe traumatic cervical spine injury. A total of 2 963 patients had one or more CS-fx, and 285 had severe non-fracture cervical spine injuries. The median age was 54 years, and 69% of the patients were male. The incidence of CS-fx and severe non-fracture injuries in the total Norwegian population was 16.5/100 000/year, and the incidence of CS-fx was 15.0/100 000/year. A total of 18% of the patients were treated with open surgery, resulting in an estimated incidence

2014 Scandinavian journal of trauma, resuscitation and emergency medicine PubMed abstract

137. Concomitant intramedullary arteriovenous malformation and a vertebral hemangioma of cervical spine discovered by a pathologic fracture during bicycle accident. (Abstract)

Concomitant intramedullary arteriovenous malformation and a vertebral hemangioma of cervical spine discovered by a pathologic fracture during bicycle accident. Spinal intramedullary arteriovenous malformations are uncommon and a challenging type of neurosurgical entities. They are rarely located to cervical segment. On the other hand, although hemangiomas are relatively common bone tumors, cervical involvement is again rare and clinically significant ones are infrequent.A 14 year-old-male (...) arteriovenous malformation (AVM) on digital subtraction angiography. Based on neurological and radiological findings, the decision was to treat the patient. After embolization of the AVM, the neurological condition of the patient deteriorated and immediate MRI scan of the cervical spine revealed edema of the spinal cord at the C5-6 level. Thus an emergent surgery was performed and C5-6-7 laminectomies with C5-T2 posterior fixation and arthrodesis were implemented. A second stage operation was carried out

2014 European Spine Journal

138. Type II odontoid fracture in elderly patients treated conservatively: is fracture healing the goal? (Abstract)

 months after treatment, functional evaluations were performed employing a second modified Rankin Scale (mRS-post) together with Neck Disability Index (NDI) and Smiley-Webster pain scale (SWPS). Radiological outcome was evaluated through dynamic cervical spine X-rays at 3 months and cervical spine CT scans 6 months after treatment. Three different conditions were identified: stable union, stable non-union and unstable non-union. Surgery was preferred whenever a fracture gap > 2 mm, an antero-posterior (...) Type II odontoid fracture in elderly patients treated conservatively: is fracture healing the goal? Analysis of functional outcome of elderly patients with type II odontoid fractures treated conservatively in relation to their radiological outcome.A total of 50 geriatric patients with type II odontoid fractures were treated with Aspen/Vista collars. On admission, each patient was assessed assigning ASA score, modified Rankin Scale (mRS-pre) and Charlson Comorbidity Index (CCI). From 12-15

2019 European Spine Journal

139. Traumatic posterior atlantooccipital dislocation combined with type II dens fracture and C1 anterior arch fracture: Two case reports. (Full text)

Traumatic posterior atlantooccipital dislocation combined with type II dens fracture and C1 anterior arch fracture: Two case reports. Traumatic AOD is rare but highly associated with upper cervical spine injuries. We found no references in the literature of traumatic posterior atlantooccipital dislocation (AOD) combined with type II dens fracture (Anderson-D'Alonzo classification) and C1 anterior arch fracture.The first case was a 93-year-old male patient who was admitted to the Emergency (...) Department complaining of incomplete quadriplegia after a fall from a height. The second was a 53-year-old male patient who visited the emergency department complaining of posterior neck pain following a high-speed motor vehicle collision.Reconstructed computed tomography (CT) scans clearly demonstrated posterior AOD combined with type II dens fracture and C1 anterior arch fracture. In addition, magnetic resonance imaging (MRI) also revealed type II transverse atlantal ligament injury (Dickman's

2019 Medicine PubMed abstract

140. Answer to the Letter to the Editor of HM Wang et al. concerning "A prospective randomized controlled study comparing the pain relief in patients with osteoporotic vertebral compression fractures with the use of vertebroplasty or facet blocking" by Wang B, (Abstract)

Answer to the Letter to the Editor of HM Wang et al. concerning "A prospective randomized controlled study comparing the pain relief in patients with osteoporotic vertebral compression fractures with the use of vertebroplasty or facet blocking" by Wang B, 27757679 2018 03 30 2018 12 02 1432-0932 25 12 2016 12 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur (...) Spine J Answer to the Letter to the Editor of HM Wang et al. concerning "A prospective randomized controlled study comparing the pain relief in patients with osteoporotic vertebral compression fractures with the use of vertebroplasty or facet blocking" by Wang B, Guo H, Yuan L et al. Eur Spine J (2016): doi:10.1007/s00586-016-4425-4. 4210-4211 Wang Biao B Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University College of Medicine, No. 76 Nanguo Road, Xi'an, 710054, China. Guo Hua H

2018 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain

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